Claims Fraud Analyst

5 days ago


UK, UK, United Kingdom DiverseJobsMatter Full time

Job Description

Primary Details


Time Type: Full time


Worker Type: Employee


The purpose of this role is to analyse and research all detected fraud claims and to issue intelligence reports on behalf of all lines of business.



The opportunity

A great opportunity to join our award-winning fraud team. As a Fraud Analyst you will be part of a small team of Analysts who receive, review and re-distribute intelligence received by multiple sources as well as develop internal findings. You will work closely with the adjusters to identify fraud threats and provide advice on suspicious claims to eliminate fraud risk from the business.


Your new role

  • Produce high quality written reports and advice for the business, to include recommendations
  • Using Company data and information ensure regular detailed analysis is undertaken to identify patterns and indicators of fraudulent activity, and timely reports produced for the Senior Fraud Analysts and SIU Leadership team and business areas as applicable.
  • Manage and process the outputs of our automated fraud prevention systems used by the SIU, to include research, referral/reporting to business areas as well as the SIU team
  • Monitor and analyse the performance of Company fraud prevention systems, to include automated rules and scorecards, periodically recommending changes to rules and scorecards as applicable.
  • Ensure timely and accurate loadings are made to fraud prevention systems, and ensure supporting records are in place, that are, compliant with the use of such systems.
  • Provide advice and support to business areas and SIU with regards to potential fraud risks.
  • Submit Suspicious Activity Reports as necessary to the Company MLRO
  • Assist with the testing of new automated fraud prevention strategies before implementation into the business.
  • Support the SIU Assistant Claims Manager in the formation, delivery and management of counter fraud services to the business.


About you

  • Production of high quality data analysis reports
  • Experience of interrogation and analysis of significant and complex data sets, to identify trends, patterns and indicators of fraudulent/ irregular activity
  • Experience in working in a shared service/operations team and meeting/managing differing expectations of key stakeholders from different business areas
  • Strong Motor & Casualty claims fraud experience
  • A good understanding of fraud prevention and relevant fraud related legislation and case law
  • Knowledge of the FCA requirements and the regulatory framework relating to general insurance



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