Fraud Investigator

4 weeks ago

SaintPhilippe Quebec JL, Champlain, Canada First Central Full time

We’re First Central Insurance & Technology Group (First Central for short), an innovative, market-leading insurance company. We protect the things customers love so they can get on with what matters to them in life.

Data drives us. It fuels our outstanding distribution, finance, technology and legal services. Our underwriting skills are built on data expertise; it creates the insights we need to give the right cover to the right customers at the right price. But, it’s the people inside and outside our business that power us. They make us stand out, help us succeed. We’re ambitious. We’re growing. We’ve won awards.

Do you have excellent skills in gathering evidence and handling a caseload of fraudulent claims? Are you passionate about uncovering hidden truths? Are you a strong communicator with the ability to engage with a wide range of suppliers and customers?

We’re looking for a Fraud Investigator to join our Counter Fraud Services team in Salford Quays, Manchester or Haywards Heath, West Sussex.

You’ll be working as part of a growing, innovative team, responsible for protecting the business and customers from the impact of fraud. You’ll be investigating a caseload of suspected fraudulent claims, ranging from Low Velocity Impacts to Staged and Contrived collisions.

Core skills we’re looking for to succeed in the role:

  • Critical thinking: Use your logical reasoning to analyse evidence and draw conclusions about potential crimes.
  • Attention to detail: Pay close attention to the small detail to uncover evidence of fraud.
  • Case management: Handle investigations from start to finish, ensuring all necessary steps are taken.
  • Investigative techniques: Can use various methods for gathering evidence and conducting interviews.

Working flexibly, you'll spend part of your time working from home, with part of the week in the office but of course, it’s your choice - if you prefer to be in the office more - that's good with us too.

If you’re ready to take on an exciting challenge to showcase your negotiation expertise and be an integral part of a thriving team, apply now and become our next Fraud Investigator.


What's Involved:

  • Carry out thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage, and credit hire.
  • Conduct telephone interviews with customers as well as engaging external suppliers including accident investigators, motor engineers, and panel solicitors.
  • Assess evidence including intelligence, Police reports, medical records, and engineering evidence to identify inconsistencies and determine the outcome.
  • Identify cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement.
  • Provide advice and support to business areas with regard to potential fraud risks.
  • Process payments on claims files as required and in accordance with authorities.
  • Ensure claim files are reserved accurately and reserves amended where required.
  • Meet agreed fraud KPI’s and targets.
  • Ensure compliance with Company financial crime procedures and related policies.
  • Submit Suspicious Activity Reports as necessary to the Company MLRO.
  • Ensure compliance with TCF principles when liaising with customers.
  • Build and maintain relationships both internally and externally.
  • To be compliant with health and safety policies at all times.
  • Ensure compliance with company and other relevant standards/regulations at all times.
  • Produce high quality written reports and advice for the business, to include recommendations.
  • Any other reasonable duties as required.
  • Carry out duties, activities, and tasks as directed within the Claims and Fraud pillar.


Experience & knowledge:

  • Strong experience of handling fraudulent customer, third party damage, and personal injury claims.
  • Proven track record in investigating both opportunistic and organised motor fraud.
  • Managing a caseload with adherence to SLAs.
  • Proven track record of stakeholder management.
  • Strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team.
  • Strong understanding of the various indemnity levels and the subsequent impact that this may have on the claim/policy.
  • An understanding of Part 7 and Part 8 Proceedings.
  • Strong understanding of the litigation process and the impact that this has on the business both procedurally and economically.
  • Strong understanding of regulatory responsibilities (SMRC).
  • Excellent knowledge of FCA requirements (including TCF) and the regulatory framework relating to general insurance.


Skills & qualifications:

  • Strong communication skills, both verbal and written and negotiation and influencing skills.
  • Good time management and organisation skills with the ability to prioritise work.
  • Analytical and problem-solving skills, with the ability to adopt a logical approach to resolving problems.
  • Excellent customer service skills.
  • Computer literate, to include Word, Excel, PowerPoint and the internet.

Behaviours:

  • Self-motivated and enthusiastic.
  • Consistently demonstrates a positive attitude.
  • Can receive and give constructive feedback.
  • Adopts a proactive approach to your workload.
  • Identifies and communicates potential process and efficiency improvements.
  • Embrace, embed and incorporate the Company values.
  • Passionate about reducing the business exposure to fraud risk.
  • Emphasis on attention to detail and accuracy.
  • Able to work on own initiative and as part of a team.

What can we do for you?

People first. Always. We’re passionate about our colleagues and know the best people deserve an extraordinary working environment. We owe it to them so that’s what we offer. Our workplaces are energetic, inspirational, supportive. To get a taste of the advantages you’ll enjoy, take a look at all our perks in full here.

Intrigued? Our Talent team can tell you everything you need to know about what we want and what we’re offering, so feel free to get in touch.

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