Fraud Claims Investigator

**HYBRID ROLE / HOME BASED**

Based in Hove (hybrid role with 2 / 3 days a week home based), this is an exciting and fast paced environment and as a member of the team you will be handling claims investigations and intelligence across the full spectrum of fraud types as well as vehicletheft. Led by our Head of Fraud and supported by your Team Leader you will join a counter fraud team which deploys market leading strategies, underpinned by a cutting-edge data science team with a range of innovative tech tools at your disposal. This is afantastic opportunity to come on board our journey to become a best in class claims operation.
**What excites you? (Role purpose)**

The purpose of the role is to assess and handle a portfolio of pre-litigated and litigated suspected fraudulent claims which would encompass all types of fraud faced by a motor insurer. This requires the ability to assess a file from inception, manage theinvestigations and intelligence gathering from a variety of sources, interaction with service providers, including solicitors to settle or repudiate claims accurately and at an optimum level.
You will have a commitment to want to achieve and continually exceed goals and KPIs. With an inquisitive mind and an ability to creatively problem solve you will approach claims logically to determine key issues and strategies. You will require a passion forfraud identification combined with a strong desire to combat Motor Insurance Fraud.
Liaising with a range of internal and external stakeholders and third-party representatives, excellent communication skills are essential. In an ever changing and adapting market you will have an eagerness to learn new skills in order to successfully combatfraudsters and their tactics.

**Key Duties**
- Handle own allocation of Fraud cases and first party claims investigations such as vehicle theft
- Control and manage own workflow, keeping tasks within 5 day business days, but also being able to identify and prioritise urgent cases.
- Carry out investigations from first detection through to repudiation, settlement and/or recovery stage
- Conduct research and investigative searches using closed and open source in order to develop intelligence and evidence.
- Gather evidence from various sources including police reports, witness statements, medical reports where appropriate.
- Monitor, control and reduce frequency and spend for litigation
- Carry out any other activity such as may be required by department
- To work in a professional manner
- Report and log identified savings and other positive results.
- Identify and report to the Fraud Operations Manager any potential case for submission to Law Enforcement
- Identify and report any potential case for submission and/or alert to the IFB/IFIG/IFED
- Attend industry seminars and forums where applicable and relevant.

**About You**
- Good working knowledge of relevant legislation such as Fraud Act, Regulation of Investigatory Powers Act (RIPA), Criminal Procedure and Investigations Act (CPIA), Data Protection Act, Human Rights Act, Police and Criminal Evidence Act (PACE)
- Good working knowledge and understanding of the National Intelligence Model (NIM)
- Excellent eye for detail and ability to accurately analyse and recognise potential fraud trends and/or fraud indicators
- In depth knowledge of the Civil and Criminal courts process
- Experience of investigating and/or negotiating Motor Claims
- Report writing skills and experience of compiling witness statements and exhibiting evidence
- Ability to investigate and analyse a case within the framework of the applicable legislation

**Hours are 9.00am - 5.30pm, Monday - Friday.**

**This is hybrid role based both at the office in Hove and from home so ideal applicants will live within a 1 hour commute.**

**Benefits**

This is a vibrant, diverse and progressive team, underpinned by a collaborative and customer-centric culture, where you’ll enjoy the following benefits:

- Flexible working - We care about the work being done, not where you are when you do it
- Competitive compensation with a salary up to £31,000.
- Pension contribution
- 22 days holiday (+8 bank holiday) Pro-rated
- Private Medical Insurance (BUPA)
- Life insurance cover and Permanent Health Insurance
- Additional employee wellness benefits
- A fantastic, supportive team

Can all applicants please attach an up to date CV in Word format.