Job Title: Counter Fraud Claims Negotiator Location: Romford, Essex Salary: Circa £32,000 Job Type: Permanent Summary The Claims Validation Team is also known as the Claims Fraud Team and is referred to in that name as follows. To manage the team that deals with Financial Crime and Fraud activities associated with Claims and to validate and investigate motor theft claims. Key Responsibilities: Managing fraud rings and linked claim investigation, adhering to internal and Industry protocols. Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques in order to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies. Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists. Validating documents. Ability to assess the evolving 'evidential picture' of a claim in order to drive a proactive investigation and determine the correct outcome. Managing claims caseload, in accordance with the claims philosophy, claims handling procedures and service levels. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis. Developing and maintaining effective relationships with colleagues and business partners. Ensure awareness and understanding Treating Customers Fairly and how customers are managed. Other duties may be required. Knowledge and Experience/ Skills/Personal Qualities Professional Qualifications: To be successful within the role of Counter Fraud Investigator you will need experience of handling personal injury motor claims and experience of investigating suspect fraudulent RTA/personal injury claims. Skills/Personal Qualities: Customer focused. People development skills. Service delivery focused. For extra information please contact:- London: Email:
Dec 19, 2022
Full time
Job Title: Counter Fraud Claims Negotiator Location: Romford, Essex Salary: Circa £32,000 Job Type: Permanent Summary The Claims Validation Team is also known as the Claims Fraud Team and is referred to in that name as follows. To manage the team that deals with Financial Crime and Fraud activities associated with Claims and to validate and investigate motor theft claims. Key Responsibilities: Managing fraud rings and linked claim investigation, adhering to internal and Industry protocols. Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques in order to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies. Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists. Validating documents. Ability to assess the evolving 'evidential picture' of a claim in order to drive a proactive investigation and determine the correct outcome. Managing claims caseload, in accordance with the claims philosophy, claims handling procedures and service levels. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis. Developing and maintaining effective relationships with colleagues and business partners. Ensure awareness and understanding Treating Customers Fairly and how customers are managed. Other duties may be required. Knowledge and Experience/ Skills/Personal Qualities Professional Qualifications: To be successful within the role of Counter Fraud Investigator you will need experience of handling personal injury motor claims and experience of investigating suspect fraudulent RTA/personal injury claims. Skills/Personal Qualities: Customer focused. People development skills. Service delivery focused. For extra information please contact:- London: Email:
Claims Fraud Investigator - Motor Insurance Hours: 35 hours per week, Monday-Friday Salary: Competitive Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Dec 01, 2022
Full time
Claims Fraud Investigator - Motor Insurance Hours: 35 hours per week, Monday-Friday Salary: Competitive Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Dec 01, 2022
Full time
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group who looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is too pro-actively screen and investigate portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Dec 01, 2022
Full time
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group who looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is too pro-actively screen and investigate portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
Dec 01, 2022
Full time
Claims Fraud Investigator - Motor Insurance Salary: Competitive Hours: 35 hours per week, Monday-Friday Locations: Chesterfield, Manchester, Nottingham, and Tunbridge Wells. Hybrid : 3 days remote, 2 days office-based Overview My client is a leading and expanding insurance group looking to recruit experienced Claims Fraud Investigators to join their dynamic and forward-thinking teams. The main purpose of this role is to proactively screen and investigate a portfolio of suspect motor accident claims. As a Fraud Investigator, you will be responsible for screening incoming claims referrals against known fraud indicators and other risk factors and identifying cases where an investigation is required. Responsibilities Screening incoming claims referrals and identifying cases that require further investigation Managing fraud rings and linked claim investigation, adhering to internal and IFB protocols. Utilising a variety of desktop tools (CUE, MIAFTR, etc.) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation. Utilise conversation management techniques to further determine risk and separate honesty from inconsistency when dealing with all claimants and their representatives. Pursuing follow-up inquiries with external parties including regulatory and licensing authorities, other insurers, and law agencies. Providing focused instructions and liaising with specialist investigative suppliers including field investigators, engineers, and forensic specialists. Validating documents. Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits. Responding promptly and proactively to incoming telephone calls and correspondence by use of telephone, e-mail, and letter. Maintaining good file discipline and accurate reserves, together with an effective diary system ensuring that cases are reviewed on a regular basis. Provide detailed feedback to the Claims Departments on claims that do NOT need investigation to assist with referral quality. Undertaking general claims tasks, as required To adhere to Company processes with regard to FCA compliance, DPA, and Treating Customers Fairly, ensuring strict compliance in all these areas. Skills Required The ability to assess the evolving 'evidential picture' of a claim to drive a proactive investigation and determine the correct outcome. Bodily injury claims handling experience Investigation of suspect fraudulent RTA/bodily injury claims. Benefits 25 days annual leave + bank holidays! 5% pension contribution scheme Healthcare benefits Life assurance Discounts on over 250 big retail brands
We are currently recruiting for a Desktop Engineer to join our established NI claims team in Riverside Tower in Belfast city centre. Reporting to teh Chief Engineer, the purpose of the role is to supply an efficient, cost effective and timely motor inspection service where you will be deliveri...
Jan 12, 2022
Full time
We are currently recruiting for a Desktop Engineer to join our established NI claims team in Riverside Tower in Belfast city centre. Reporting to teh Chief Engineer, the purpose of the role is to supply an efficient, cost effective and timely motor inspection service where you will be deliveri...