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Claims Validation Handler / Fraud Claims Handler


Company: Tony Martin
Job Ref: TMECVUHan
Start Date: ASAP
Hours: Full Time
Working Term: Permanent Position
Salary: Negotiable


Description:

Claims Validation Handler / Fraud Claims Handler

Job Market - Insurance

Claims Validation Handler / Fraud Claims Handler - About the role

Preventing and detecting fraudulent Insurance claims in a way that complies with relevant legislative and regulatory requirements. You will do this by directly managing a portfolio of suspected fraudulent claims, conducting desktop enquiries including database searches and arranging investigations appropriate to the claim in order to achieve a cost efficient conclusion and minimal financial loss to the company.

Claims Validation Handler / Fraud Claims Handler - Key duties

Managing a portfolio of suspected fraudulent claims in order to drive optimum outcomes whilst controlling costs based.

Handling organized and ringed fraud investigations working closed with the Insurance Fraud Bureau (IFB) and other external agencies and suppliers

Building relations with other teams within the company to support feedback on claims returned back to the business units and to assist in the identification of any emerging risks or trends identified by the business units and to use the information to constantly review the Fraud Indicators & Mandatory Referrals into the Counter Fraud Team

Proactively examine and evaluate claims to ensure accurate reserving of claims held within the portfolio of cases

Assist with development and application of claims strategies in order to conclude claims in an economical and efficient way and to drive down the length of 'claims lifecycle’

Identify contribution and other recovery issues and ensure that these are successfully pursued where appropriate

Liaison and discussion with other relevant areas of the business and key stakeholders to include Underwriters, Underwriting Validation Team and Commercial.

Participate in all relevant meetings in order to share knowledge and best practice.

Use knowledge from referrals and quality audits to contribute to and deliver process improvement initiatives to continually build operational and technical capability

Be aware of and act upon all compliance matters e.g. TCF, Data Protection, and Money Laundering and support compliance with Lloyd’s, FSA & FOS regulations

Embody and amplify the ERS values in all aspects of day to day activity ensuring that all interactions and engagements are carried out with the highest ethical and professional standards and that all work is accomplished with quality and in accordance with ERS values

Claims Validation Handler / Fraud Claims Handler - Key requirements

Previous experience of working in a Motor Claims environment (applications for candidates with Claims experience outside of Motor Claims are also encouraged)

Previous experience dealing with Counter Fraud investigations preferred

Knowledge of fraud indicators - understanding of the purpose and remit of the IFB & IFED

Awareness of pre and post litigation procedures (appropriate to level of claims handling ability).

Current knowledge of compliance, regulatory and statutory requirements



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