Counter Fraud Claims Negotiator

Job Description

Job Title - Counter Fraud Negotiator

Job Market - Insurance Claims

Job location - Work from home 

 

Counter Fraud Negotiator - About the role

The Claims Fraud Team deals with Financial Crime and Fraud activities associated with Insurance Claims and they are looking for an experience Fraud Handler to validate and investigate motor theft claims.

Counter Fraud Negotiator - Key duties

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.

Counter Fraud Negotiator - Key requirements

Experience of handling personal injury motor claims and experience of investigating suspect fraudulent RTA/personal injury claims.