Fraud Investigator

2 days ago


Haywards Heath, United Kingdom First Central Full time

We’re 1st Central, a market-leading insurance company utilising smart data and technology at pace. Rapid growth has been based on giving our 1.4 million customers exactly what they want: great value insurance with an excellent service. And that’s the same for our colleagues too; we won Insurance Employer of the Year at the British Insurance Awards 2024 and our Glassdoor score is pretty mega tooDo you have excellent skills in gathering evidence and handled a caseload of fraudulent claims? Passionate about uncovering hidden truths? Are you a strong communicator with the ability to engage with a wide range of suppliers and customers?We’re looking for a Fraud Investigator to join our Counter Fraud Services team in Haywards Heath, West Sussex.You’ll be working as part of a growing, innovative team, responsible for protecting the business and customers from the impact of fraud. You’ll be investigating a caseload of suspected fraudulent claims, ranging from Low Velocity Impacts to Staged and Contrived collisions.Core skills we’re looking for to succeed in the role:Critical thinking: Use your logical reasoning to analyse evidence and draw conclusions about potential crimesAttention to detail: Pay close attention to the small detail to uncover evidence of fraudCase management: Handle investigations from start to finish, ensuring all necessary steps are takenInvestigative techniques: Can use various methods for gathering evidence and conducting interviewsWorking flexibly, you'll spend the 3 months in the office full-time for training and support, then hybrid begins with 4 days at home and 1 day in the office - if you prefer to be in the office more - that's good with us too.Here’s a glimpse of what we can offer:Starting salary from £29,000 to £35,000, depending on experienceMonday to Friday, no weekends25 days holiday plus 8 bank holidays and an extra 'You' day off for important occasions or just a day for youFully supportive team throughout£100 off your car insuranceA fun, vibrant and busy place to workWhat's Involved:You’ll carry out thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage and credit hireYou’ll conduct telephone interviews with customers as well as engaging external suppliers including accident investigators, motor engineers and panel solicitorsYou’ll assess evidence including intelligence, Police reports, medical records and engineering evidence to identify inconsistencies and determine the outcomeYou’ll identify cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvementYou’ll provide advice and support to business areas with regard to potential fraud risks.You’ll process payments on claims files as required and in accordance with authorities.You’ll ensure claim files are reserved accurately and reserves amended where required.You’ll meet agreed fraud KPI’s and targets.You’ll ensure compliance with Company financial crime procedures and related policies.You’ll submit Suspicious Activity Reports as necessary to the Company MLRO.You’ll ensure compliance with Consumer Duty principles when liaising with customers.You’ll build and maintain relationships both internally and externally.You’ll be compliant with health and safety policies at all times.You’ll ensure compliance with company and other relevant standards/ regulations at all times.You’ll produce high quality written reports and advice for the business, to include recommendations.Experience & knowledge:You’ve strong experience of handling fraudulent customer, third party damage and personal injury claimsYou’ve a proven track record in investigating both opportunistic and organised motor fraudYou can manage a caseload with adherence to SLAsYou’ve a proven track record of stakeholder managementYou’ve a strong understanding of motor insurance fraud and the purpose of a Counter Fraud TeamYou’ve a strong understanding of the various indemnity levels and the subsequent impact that this may have on the claim/policyYou’ve an understanding of Part 7 and Part 8 ProceedingsYou’ve a strong understanding of the litigation process and the impact that this has on the business both procedurally and economicallyYou’ve a strong understanding of regulatory responsibilities (SMRC)You’ve excellent knowledge of FCA requirements (including Consumer Duty) an the regulatory framework relating to general insuranceSkills & qualifications:You’re a great communicator, both verbal and written, with the skills to influence and negotiateOrganisation, timekeeping and prioritisation are second nature to youYou’re analytical and have problem-solving skills with the ability to adopt a logical approach to resolving problemsYou’ve got great customer service skills. After all our customers are keyYou’re not fazed by computers and software. Competent in Microsoft applications, particularly Word, Excel & PowerPoint.Behaviours:You’re self-motivated, proactive and enthusiasticYou demonstrate a positive attitudeYou can receive and give constructive feedbackYou adopt a proactive approach to your workloadYou can identify and communicates potential process and efficiency improvementsYou embrace, embed and incorporate the Company valuesYou’re passionate about reducing the business exposure to fraud riskYou’ve got a sharp eye for detailand accuracyTeamwork makes the dream work You’ve the ability to work on own initiative and as part of a teamIf you’re ready to take on an exciting challenge to showcase your negotiation expertise and be an integral part of a thriving team apply now and become our next Fraud Investigator.What can we do for you?People first. Always. We’re passionate about our colleagues and know the best people deserve an extraordinary working environment. We owe it to them so that’s what we offer. Our workplaces are energetic, inspirational, supportive. To get a taste of the advantages you’ll enjoy, take a look at all our perks in full here . Intrigued? Our Talent team can tell you everything you need to know about what we want and what we’re offering, so feel free to get in touch. #J-18808-Ljbffr


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