Special Investigator

Charles Taylor

View: 104

Update day: 01-06-2024

Location: Chichester South East

Category: Legal / Contracts

Industry: Insurance

Job type: Full-time, Permanent

Salary: £22,000 - £28,000 a year

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Job content

Charles Taylor Assistance is a global provider of integrated medical and security assistance, claims handling, pre-travel advice, medical screening and travel risk management. With offices on the UK’s south coast and Mallorca, Spain, we manage over 50,000 assistance cases every year and have more than 47 years’ experience of supporting a blue-chip client base.

Having been established by two brothers back in 1973, Charles Taylor Assistance started life as CEGA, adopting its current name after being acquired by the Charles Taylor Group in 2016. Charles Taylor is a global provider of professional services and technology solutions dedicated to enabling the global insurance market to do its business fundamentally better. Dating back to 1884, Charles Taylor now is currently in more than 120 locations spread across 30 countries in Europe, the Americas, Asia Pacific, the Middle East and Africa.

Charles Taylor believes that it holds a distinctive position in its markets in that it is able to provide professional services and technology solutions in order to support every stage of the insurance lifecycle and every aspect of the insurance operating model. Charles Taylor serves a diversified blue-chip international customer base that includes national and international insurance companies, mutuals, captives, MGAs, Lloyd’s syndicates and reinsurers, along with brokers, distributors and corporate insureds.

Charles Taylor has three distinct business areas – Claims Services, InsureTech and Insurance Management.

For more information, please visit www.charlestaylor.com

The Role

An exciting opportunity has arisen with Charles Taylor Specialist Investigation Services for a Special Investigator to join the team.

Reporting to an Investigations Manager, the successful candidate will have a key role in the detection and prevention of fraud across multiple insurance product lines.

Key Responsibilities

  • Investigating potentially fraudulent claims made on a variety of insurance products. This will be done via cognitive telephone interviews, validation calls, video interviews, & liaising with UK/International offices and associates to coordinate field investigations. Ensure all relevant revenue opportunities are explored.
  • Adhering to relevant legislation that relates to your role as a Special Investigator.
  • Triaging suspected fraud referrals that are received into the team and recommending/implementing the required investigation.
  • Ensuring that complaints are captured and recorded following the current FCA complaint guidelines.
  • Liaising and maintaining excellent working relationships with CTSIS clients.
  • Recording fraud savings for ourclients.
  • Acting as a role model and ensure that you are approachable to all members of Charles Taylor staff.
  • Assessing evidence and making decisions based on an impartial assessment of a claim.
  • Managing your own case load of investigations whilst ensuring that all your tasks are always up to date.
  • Writing detailed repudiation/challenge letters and investigation reports.
  • Maintaining a very high level of customer service at all times whilst still ensuring that our client’s liability is fully protected, and only valid claims are paid.
  • You may be required to deal with high profile claims, high cost claims and debt recovery.
  • Ideally, the successful candidate will have a fraud qualification or is willing to study for a fraud qualification.
  • Uploading Discovery Social Media and Open Source Intelligence report requests to Charles Taylor’s Discovery portal.
  • Conducting QA on Discovery Social Media and Open Source Intelligence reports to ensure the highest standard of reports are being sent to clients.

Person Specification

  • Excellent investigative skills
  • It would be advantageous if the candidate has a good understanding of general insurance and fraud investigation practice, and a good understanding of what fraud is and the level of evidence required to formally reject an insurance claim on the grounds of fraud.
  • Good attention to detail
  • Good telephone manner
  • Excellent command of the English language both written and oral
  • A resilient attitude towards confrontation
  • Must have excellent organisational skills
  • Must have good time keeping and time management skills
  • Should have previous experience of adhering to service level agreements
  • Must be prepared to develop through regular coaching, performance appraisals and self-discovered learning
  • Must be self-motivated, and capable of multi-tasking.
  • Ensure that principles set out by FCA for Treating Customers Fairly is adhered to at all times
  • Must be committed to providing the highest level of customer care
  • Must be able to develop good working relationships internally, with insurers/clients and external investigators
  • Be prepared to act as a point of reference for colleagues

Equal opportunity employer

At Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.

Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive and diverse culture and environment which we are proud to be a part of at Charles Taylor.

Job Types: Full-time, Permanent

Salary: £22,000.00-£28,000.00 per year

Benefits:

  • Work from home

Schedule:

  • Monday to Friday

Experience:

  • Statement Taking: 1 year (preferred)
  • Investigations: 1 year (preferred)
  • Investigative & Law Enforcement Occupations: 1 year (preferred)

Licence/Certification:

  • Driving Licence and own transport (preferred)

Work remotely:

  • No
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Deadline: 16-07-2024

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