Claims Fraud Technical Coach

2 weeks ago

Manchester, United Kingdom First Central Insurance Management Ltd Full time

We’re First Central Insurance & Technology Group (First Central for short), an innovative, market-leading insurance company. We protect the things customers love so they can get on with what matters to them in life. 

Data drives us. It fuels our outstanding distribution, finance, technology and legal services. Our underwriting skills are built on data expertise; it creates the insights we need to give the right cover to the right customers at the right price. But, it’s the people inside and outside our business that power us. They make us stand out, help us succeed. We’re ambitious. We’re growing. We’ve won awards.

Strategic thinker with the ability to look at the bigger picture and lead by example - sound like you? Happy to roll your sleeves up and get stuck in Then how about joining us as a Claims Fraud Technical Coach in Salford Quays, Manchester or Haywards Heath, West Sussex.

You’ll be reporting into our Technical Manager and primarily providing technical support to the Claims Fraud Investigation team. This is a superb chance to bring your training and coaching skills to the test and conduct regular coaching sessions for our Claim Fraud Investigators, ensuring our colleagues in the team are provided with the resources needed to grow and develop.

Other key duties will be to handle a caseload of potential fraud risks, producing reports, audits, process improvements and being a supportive technical expert for the team.

This role will be working a 37.5 hour working week Monday to Friday with flexible hybrid working available of 4 days from home and 1 day in the office after the first week or two in the office for training and support.

Want to know more? Sounds like you? Then click on Apply

Job responsibilities:

Handle a personal caseload of potential fraud risks, including fraud networks, in accordance with CFS SLA’s, FCA regulations, and legislative and policy guidelines where required. Caseload to include desk-top handling, with direct interaction with policyholders, third parties and witnesses; extending to incorporate telephone-based interviews and written communications, and the appointment of external specialists to include investigators, law firms and motor engineers Produce high quality written reports and advice for the business, to include recommendations. Complete monthly audits on Claims Fraud and Complex Fraud investigators to assess quality and leakage. Conduct monthly coaching sessions with Claims Fraud investigators to discuss audit results and technical development. Provide additional support to Claims Fraud Investigators where required. Prepare and deliver training material to Claims Fraud investigators and wider business areas. Support the development and improvement of processes in CFS. Manage and action technical referrals from the Claims Fraud investigators in line with their career job level. Help to manage the relationship with FCIM panel of service providers including law firms and investigators As required assist with external supplier audits Provide advice and support to business areas and CFS with regard to potential fraud risks. Process and authorise cheques on claims files as required and in accordance with authorities. Ensure claim files are reserved accurately and reserves amended where required Meet agreed fraud KPI’s and targets. Comply with the requirements, and act in accordance with, the Group Code of Conduct and Fitness and Propriety policies at all times  Ensure compliance with Company Policies, Values and guidelines and other relevant standards/ regulations at all times. Any other reasonable duties 

Experience & knowledge:

Strong motor claims and policy experience. Proven track record in investigating fraud risks impacting on a motor insurer. Claims fraud investigation and management, to include organised motor fraud. Experience in assisting with team management duties Excellent knowledge of processes and tactics used to investigate and manage insurance fraud, and a solid understanding of relevant fraud related legislation. Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance. Sound understanding of all aspects of motor insurance.

Skills & Qualifications:

Good communication skills, both verbal and written Good time management and organisation skills  Negotiation and influencing skills. Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems. Strong customer service skills. Good numeracy and literacy skills. Computer literate, to include Word, Excel, PowerPoint and the internet. Desktop fraud investigation, to include telephone interviews. Appointment and management of external fraud service providers. Excellent report production skills.

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 .

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.

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