Claims Validation Team Controller
Full Job Description
The primary tasks of the role are:
- Desk based investigation of suspect insurance claims and other suspected fraudulent insurance activity.
- Use of established investigations and search tools together with newer internet based - social networking tools etc.
- Work with the IFB and other insurers and supplies on larger fraud network investigations
- Responsible for working on and project managing a large number of fraud cases from individual cases to large fraud networks including staged accidents, phantom passengers etc.
- Collate information on fraudulent activity, and updating departmental and company records in relation to fraud savings.
- Analyse data information and recommend appropriate action.
- Conduct interviews with individuals to obtain statements regarding irregularities.
- Work closely with other Claims Validation Officers and the Head of Fraud to recommend developments to the fraud detection and prevention systems and to assist in implementing these developments.
- Audit the quality of the strategies set by the Claims Validation Officers
- Deputise for the Head of Fraud on technical issues
- Act as a referral point for others in the business who need support and decisions made upon claims and other incidents that have suspicious aspects to them; and lending support to colleagues who need assistance with such files.
- Assist with the training and familiariz
Our client is looking for a candidate with the following skills and experience :
- Expert knowledge and understanding of fraud and investigation processes and tools
- Expert knowledge and understanding of insurance claims handling and claims negotiation preferably including personal injury claims
- Good knowledge and understanding of the Data Protection Act and its implications in respect of fraud investigations
- Sound knowledge and understanding of the law related to insurance and fraud as well as proven track record in dealing with the police and other fraud investigations people in the industry, and with the IFB.
- Excellent customer skills and the ability to spot and challenge unusual (and fraudulent) behaviour.
- Good knowledge and understanding of IT systems, information searches, internet, social networking and other investigation tools.
- Ability to work autonomously or as part of a team.
- Ability to use own initiative and work pro-actively where possible.
- Excellent telephone manner
- Ability to act as a point of referral for claims and other insurance staff
- A proven track record of handling PI claims with a value in excess of £50k.
Our client is one of the largest employers in the local area and well know nationally
A competitive salary and package
Where specific UK qualifications are required we will take into account overseas equivalents.
Please quote Michael Page reference when applying Job ref:MPGX13256038
Michael Page International is a world leading recruitment consultancy.
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