Claims Fraud Investigator

Company description

Role:Claims Fraud Investigator - Motor Insurance

Location: Tunbridge Wells/Working from home options

Contract:Full time, Permanent

Salary: Up to £28,000 dep on exp + annual bonus + excellent benefits

Background

Here at the AA and as part of our Claims business in Tunbridge Wells, we are looking to recruit an experienced Claims Fraud Investigator.

This is the job

As a Claims Fraud Investigator, you will support the Counter Fraud department in its objective of preventing and detecting claims fraud. This will be achieved through the effective investigation and management of claims fraud referrals and contributing to the continued development of the Counter Fraud Team.

The ability to manage multiple work streams and associated investigations are essential as are strong interpersonal skills.

What will I be doing?

• Responsible for end to end investigation and management of claims fraud referrals to achieve a cost-efficient conclusion and minimal financial loss to the company
• Directly managing a portfolio of suspected fraudulent claims, in accordance with the claims philosophy, claims handling procedures and service levels
• Ability to assess the evolving ’evidential picture’ of a claim to drive a proactive investigation and determine the correct outcome
• Adhering to internal and IFB protocols
• Utilising a variety of desktop tools (CUE 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 enquiries 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, product and forensic specialists
• Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis

What do I need?

• Thorough knowledge of insurance with a strong understanding of the principles of insurance
• Solid background in Claims handling or a similar fraud investigation role
• Have an in-depth understanding of the insurance claims market and how it operates and have a track record of using this knowledge to drive efficiencies
• Have an in-depth technical knowledge and the creativity to generate ideas
• Effective communication & interpersonal skills
• Stakeholder management, ability to build strong networks & influence upwards
• Excellent commercial acumen
• Good analytical skills -Management Information (MI) – attention to detail
• Effective presentation skills

Additional Information

As a valued member of our team, you’ll have access to a range of fully supported development programmes, designed to help you progress in your career with us. Whether you’re looking to grow in your current role, or learn new skills and take on greater responsibilities, we can help you build the career you’re looking for here.

We’re always looking to recognise and reward our employees for the work they do. Here are just a few of the benefits you’ll have access to, as part of our team:

• Discretionary performance related annual bonus scheme
• Contributory pension scheme
• 25 days holiday
• 50% discount on AA membership in the first year and free thereafter
• Discounts on the wider AA products and services incl. car insurance, home insurance etc.
• Flexible benefits

Good conduct matters to us. Our teams are motivated by doing the right thing for both customers and colleagues, and in line with our values, we ask all our employees to act with honesty & integrity and respect for others at all times.

We’re an equal opportunities employer and welcome applications from anyone regardless of race, sex, disability, religion/belief, sexual orientation or age.

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