Counter Fraud Policy Investigator
3 weeks ago
Counter Fraud Policy Investigator
About the Role:
We are seeking a skilled Counter Fraud Policy Investigator to join our Counter Fraud Department. As a key member of our team, you will be responsible for detecting and investigating insurance fraud, ensuring our customers remain protected from fraudulent activities.
Key Responsibilities:
- Proactively detect and prevent fraud, minimizing the impact on genuine customers.
- Provide effective portfolio management, including proactive review of new work and conversion to detected benefit, while ensuring SLAs and the lifecycle of cases are kept within process guidelines.
- Demonstrate all cases adhere to legislation and risk regulations set internally and by external governing bodies.
- Conduct cognitive investigation interviews, assessing behavior and fraud types, ensuring informed decisions are made.
- Use knowledge and available tools to refer, where required, linked cases or any suspicions of organized or targeted fraud identified in day-to-day handling.
- Mitigate spend and control the cost of investigations by identifying threats, leakage, and where appropriate, refer to senior staff members.
- Demonstrate effective use of all available MI to prioritize workload and drive own performance.
What We're Looking For:
- Excellent customer service and communication skills.
- Attention to detail with a high level of accuracy.
- Strong stakeholder management and organization skills.
What We Offer:
We offer a range of benefits to suit your lifestyle, including a 9% employer-contributed pension, 50% off home, motor, and pet insurance, and a flexible working model combining the best parts of home and office-working.
Our Approach to Diversity and Inclusion:
We believe everyone should feel comfortable bringing their whole selves to work. We champion diverse voices, build workplaces that work for people, and invest in the things that matter.
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