Fraudulent Claims Investigator

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: 0203 411 8430

Email: admin@lawesgroup.co.uk