Application Fraud Investigator

4 weeks ago


Halifax, Calderdale, United Kingdom Zego Full time
About Zego

Zego is a leading provider of motor insurance, committed to offering the lowest priced insurance for good drivers. Our mission is to change the traditional motor insurance landscape by providing a more efficient and cost-effective solution.

Role Overview

The Application Fraud Investigator will be a key member of our forward-thinking, tech-driven fraud team. This role will focus on balancing swift, legitimate business processes with proactive fraud detection, investigation, and prevention, ensuring the best outcomes for both Zego and our genuine customers.

Key Responsibilities
  • Fraud Analysis: Review and assess policy referrals from internal and external sources, identifying potential fraud cases based on established indicators and risk factors.
  • Investigative Action: Conduct investigations by cancelling fraudulent policies where applicable, maintaining our fraud database, and performing data entry tasks related to ongoing cases.
  • Data Management: Collect and analyse fraud data, track investigation outcomes, and document cost savings associated with fraud prevention efforts.
  • Tools & Techniques: Leverage a variety of digital tools, databases, and internet resources to profile potential fraud and guide investigations toward the correct outcome.
  • Evidence Gathering: Assess the complete evidential landscape to ensure proper decisions are made, securing all necessary documentation and evidence throughout the process.
  • Fraud Trends: Proactively report new fraud patterns and Modus Operandi to our intelligence analysts to keep ahead of emerging threats.
  • Compliance & Protocols: Ensure full compliance with internal protocols, Insurance Fraud Bureau (IFB) standards, and all system requirements.
  • External Collaboration: Coordinate follow-up investigations with external bodies, including regulatory and licensing authorities, other insurers, and law enforcement, while managing Data Protection Act (DPA) requests.
  • Document Validation: Conduct document verification to ensure authenticity and accuracy in support of investigations.
  • Process Improvement: Contribute to the ongoing enhancement of sales, underwriting, claims, and other company processes by identifying areas of vulnerability and suggesting improvements.
  • System Testing: Participate in system search trials, providing feedback to Fraud Management on the effectiveness of anti-fraud measures.
  • Regulatory Adherence: Maintain strict adherence to regulatory standards, including those related to the fair treatment of customers.
Requirements
  • Able to perform in a fast-paced start-up environment and be a strategic and inquisitive thinker.
  • Fraud experience in an insurance setting is essential.
  • Strong claims handling experience in an insurance company, preferably with an Insurtech or Motor Insurance provider.
  • Good working knowledge of the MOJ and OIC portals.
  • Sound knowledge of liability scenarios as well as a good sense of commercial awareness.
  • A strong understanding of motor insurance indemnity, including the Road Traffic Act and Article 75.
  • Litigation experience is a plus.
  • Experience in using and maintaining a fraud system and a good understanding of the Fraud Act 2006.
What's it like to work at Zego?

At Zego, we're a team of talented individuals who are passionate about making insurance matter. We're committed to creating a friendly and inclusive space where everyone can thrive and reach their full potential. We believe in empowering our people to achieve extraordinary things and are proud of our company culture.

We're a hybrid team, working together to deliver exceptional results. We believe in flexibility and offer a range of benefits to support our people's well-being and career development. If you're looking for a challenging and rewarding role where you can make a real difference, we'd love to hear from you.



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