Fraud Claims Investigator Job in United Kingdom

Fraud Claims Investigator Job in United Kingdom. Apply for the latest United Kingdom jobs in Accounting/Financial/Insurance.

Fraud Claims Investigator Job in United Kingdom

Job Description
A leading Insurance company is currently recruiting for an Insurance Fraud Investigator to join their growing team.

Insurance Claims Fraud Investigator
Fully Remote/ Work From home (you must be UK based)
Salary £27,000 per annum
Excellent benefits (private medical insurance, private dental insurance, travel insurance, 33 days paid annual leave)
Working week 40 hours across 5 days per week (including weekends on a rota basis 2 weekends per month)

Interviews to take place ASAP with a view to an immediate start

Purpose of the Role

To assess claims efficiently and fairly to ensure that legitimate claims covered by the policy are processed with minimum delay.
To ensure that any escalated claims denied because they are not covered by the policy, are done so fairly in accordance with the agreed business rules.
To contribute to fraud reduction by denying claims which, through an objective assessment of the evidence, are a reasonable indication of fraud according to the agreed business rules.
To ensure that in the event of a denial that all evidence is clearly recorded, and the customer understands the reasons for the denial.

Role Overview

To ensure that customers are always treated fairly and in accordance with the core values of the company
To ensure that you respond to claims as the customer would reasonably expect of the policy.
To assess claims that have been escalated for adjudication, against agreed business rules and using a range of tools.
To record evidence and decision making, within the tools provided, which supports an adjudication decision.
To update customer records promptly to ensure that any members of the team who have contact with customers have all the right information to be able to inform to the customer accurately and take appropriate action.
To hold investigation conversations with customers to clarify information as necessary prior to approving or denying a claim.
To contact customers primarily by telephone, but also by email and letter, to communicate a denial and give clear reasons.
To complete claim completion processes in some cases where an approval to proceed is the outcome.
To contribute to the ongoing development of the adjudication process through proactive feedback.
 
Competencies and skills

Preferable min of 3 year previous experience of working within fraud claims investigation,
Experience working within Insurance and Telecommunications Industry advantageous
Strong investigation skills and excellent attention to detail
Excellent Communication skills (verbal / written)
Strong Microsoft application skills (Excel, Word etc.)
Excellent time management skills,
Ability to manage multiple workload/ caseloads and prioritise tasks
Take ownership

Qualifications

5 GCSE / A levels which must include English and Maths (Essential)
Diploma / Degree in relevant area or significant experience in a similar role (Preferred)
No additional professional qualifications required

Do you have the skills and experience required?  Please submit your CV now for immediate review

Job Type: Permanent, Full Time
Location: United Kingdom
Category: Accounting/Financial/Insurance
City:
County:
Country: United Kingdom
Salary: £27000/annum
Benefits: