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Casualty Claims - Fraud Case Controller, Surrey
- UK - Surrey
- £30000 - £35000 per annum
- Full-Time Permanent
- Insurance - Insurance
- Hays Insurance & Financial Services
- 01-12-08
Job Description
My client currently requires Casualty Claims - Fraud Case Controller to work in partnership with claims operations, clients and Third Party Administrators (TPAs) to identify by claim review and consultation, casualty and auto claims where it is reasonably suspected that an element of fraud may be present; thereafter monitoring the investigation of those matters by compiling and supplying data when necessary.
Duties & Resposnibilities
- Maximise casualty and auto claims fraud savingsAssist Special Claims Service (SCS) in developing and further embedding anti-fraud claims strategies and techniques
- Education and development of staff on claims fraud related identification, investigation and management
- Limitation of financial exposure to first and third party claims fraud
- Accurate recording and reporting of claims fraud management information
- Maximising casualty fraud savings by identifying a total of 412 casualty claims per annum, in respect of which it is appropriate for surveillance to be conducted Other requirements
- Proficient in dealing with fraudulent claims from start to conclusion (auto specific ideally)
- Identify fraud using key fraud indicators, documenting same and taking the appropriate action going forward
- Excellent knowledge and experience of handling and investigating all aspects of possible fraudulent claims within a motor insurance environment
- Familiarity with desk top searches with which to detect claims fraud;
- Familiarity with broader industry initiatives with which to tackle claims fraud
- Handle contentious cases, resulting in satisfactory conclusion within policy terms and conditions
- Adhere to FSA, TCF and Data Protection Regulations.
- Competencies
- The ability to continually self motivate
- The ability to work alone unsupervised and as part of a team
- The ability to work under pressure and meet tight deadlines
- Strong written and verbal communication skills
- Attention to detail
- Lateral thinking and innovation
- Diplomacy and the ability at all times to act professionally in order to enhance the reputation of Skills
- Knowledge of surveillance techniques, capabilities and legislative constraints
- Understanding of the UK insurance industry and claims handling methods and philosophy
- Proficiency in preparing Microsoft Office suite programmes to include Excel
- An understanding of fraud legislation
- An understanding of FSA regulation and legal obligations relating to financial crime and the broader insurance industry anti-fraud services and initiatives
Duties & Resposnibilities
- Maximise casualty and auto claims fraud savingsAssist Special Claims Service (SCS) in developing and further embedding anti-fraud claims strategies and techniques
- Education and development of staff on claims fraud related identification, investigation and management
- Limitation of financial exposure to first and third party claims fraud
- Accurate recording and reporting of claims fraud management information
- Maximising casualty fraud savings by identifying a total of 412 casualty claims per annum, in respect of which it is appropriate for surveillance to be conducted Other requirements
- Proficient in dealing with fraudulent claims from start to conclusion (auto specific ideally)
- Identify fraud using key fraud indicators, documenting same and taking the appropriate action going forward
- Excellent knowledge and experience of handling and investigating all aspects of possible fraudulent claims within a motor insurance environment
- Familiarity with desk top searches with which to detect claims fraud;
- Familiarity with broader industry initiatives with which to tackle claims fraud
- Handle contentious cases, resulting in satisfactory conclusion within policy terms and conditions
- Adhere to FSA, TCF and Data Protection Regulations.
- Competencies
- The ability to continually self motivate
- The ability to work alone unsupervised and as part of a team
- The ability to work under pressure and meet tight deadlines
- Strong written and verbal communication skills
- Attention to detail
- Lateral thinking and innovation
- Diplomacy and the ability at all times to act professionally in order to enhance the reputation of Skills
- Knowledge of surveillance techniques, capabilities and legislative constraints
- Understanding of the UK insurance industry and claims handling methods and philosophy
- Proficiency in preparing Microsoft Office suite programmes to include Excel
- An understanding of fraud legislation
- An understanding of FSA regulation and legal obligations relating to financial crime and the broader insurance industry anti-fraud services and initiatives
- Angela Bond
- 190096
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