Insurance Fraud Investigator
3 weeks ago
Job Title: Specialist Insurance Fraud Investigator
Job Summary: We are seeking an experienced Specialist Insurance Fraud Investigator to join our team at Charles Taylor, a global provider of medical and security assistance, claims handling, and travel risk management services.
About the Role: As a Specialist Insurance Fraud Investigator, you will be responsible for conducting thorough investigations into suspected fraudulent insurance claims, leveraging your analytical skills and attention to detail to uncover fraudulent activity.
Key Responsibilities:
- Investigate potentially fraudulent claims made on various insurance products, conducting cognitive telephone interviews, validation calls, and liaising with international offices to coordinate field investigations.
- Adhere to relevant legislation and ensure all revenue opportunities are explored.
- Triage suspected fraud referrals, recommending and implementing investigations, and ensuring complaints are captured and recorded.
- Liaise with clients and internal stakeholders to maintain effective working relationships and ensure customer satisfaction.
- Record fraud savings for clients and act as a role model for colleagues, promoting a culture of excellence and customer care.
- Assess evidence and make impartial decisions on claims.
- Manage your case load and ensure all tasks are up-to-date, maintaining a high level of customer service and protecting client liability.
- Write repudiation and investigation reports, and deal with high-profile claims, high-cost claims, and debt recovery.
Requirements:
- Excellent investigative skills, attention to detail, and analytical abilities.
- Good telephone manner, written and verbal communication skills.
- A resilient attitude towards confrontation, excellent organizational and time management skills.
- Previous experience in adhering to service level agreements and self-motivated individual capable of multi-tasking.
- Commitment to providing the highest level of customer care and ability to develop good working relationships internally and externally.
Benefits: Competitive salary, contributory pension scheme, free health cash plan, generous rewards scheme, and travel insurance discounts.
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