Claims Fraud Investigator

Location

Swansea | United Kingdom

Job description

We are looking for a Fraud Investigator to join our Claims Counter Fraud team in Swansea on a permanent basis. This is a Hybrid role which entails three days collaborating with colleagues in the office, and two days working from home each week.

You’ll be working as part of a high-performing team, providing front line defence against motor claims fraud, whilst preventing the company from suffering unnecessary financial loss. The successful applicant will help reinforce ERS’ stance of a zero-tolerance approach to any fraud.

Reporting to a Claims Validation Unit Team Leader your main responsibilities in the role will be to:

• Reviewing claim referrals from internal and external sources against known fraud indicators to both identify suspect claims warranting further investigation and validate genuine claims for prompt settlement.
• Manage a varied portfolio of suspected fraudulent claims to outcome through efficient investigation and effective evidence-based decision making.
• Adhere to claims handling philosophies and procedures, and service level agreements, specifically around new referral review and case-handling timescales.
• Engaging with external suppliers including accident investigators, motor engineers and panel solicitors.
• Ensuring customers receive good quality claims servicing, whether a victim of fraud or a subject of interest in our investigation.
• Provide advice and support to other business areas with regards to potential fraud risks, and to provide feedback where necessary to continually strengthen our fraud detection ability.
• Carry out duties, activities and tasks with the upmost integrity and as directed by the Counter Fraud and Claims Management teams, and all relevant policies and regulations

What you’ll get in return:

• Competitive Benchmarked Salary
• 25 days holiday
• Discretionary bonus scheme
• Employee assistance programme
• Annual holiday buy (up to 3 extra days)
• Salary sacrifice benefits
• Annual benefits reviews
• The option for professional qualifcations and study support 

We’d like to hear from you, if you have:

• Enthusiasm and passion about fraud prevention.
• Excellent decision making and problem-solving skills with the ability to make key decisions to achieve the right outcomes for our customers and the business.
• Ability to perform in a fast-paced environment.
• Strategic and Inquisitive thinker with a methodical approach to work.
• A high level of self-motivation and a willingness for personal development.
• Strong interpersonal and organisational skills.
• Excellent communication skills, both written and orally.
• Counter Fraud/Financial Crime experience desirable.
• Claims handling experience desirable.

Job tags

Salary