Claims Validation Handler

Explore Reasoning Systems, Inc; Swansea; Hybrid; GBP 26,000 - 32,000; Full time

Job summary

Starr operates ERS Syndicate 218 at Lloyds and seeks a Claims Validation Handler to prevent motor fraud and limit losses. You will manage a portfolio of suspected fraudulent claims, perform desktop enquiries, and coordinate investigations as needed to reach cost-efficient conclusions.

The role is based in Swansea with a hybrid pattern: three days in the office and two days at home per week, focusing on analysing indicators and refining referral processes.

Qualifications

• Excellent decision making and problem-solving skills.
• Commercial awareness and understanding of variables affecting operations.
• Knowledge of fraud indicators.
• Awareness of pre and post litigation procedures.
• Current knowledge of compliance, regulatory and statutory requirements.

Responsibilities

• Investigate and resolve fraud claims to drive optimum outcomes while controlling costs.
• Manage referral allocation and provide feedback on cases to improve processes and Fraud Indicators & Mandatory Referrals into CVU.
• Assist in developing and applying claims strategies to conclude claims economically and efficiently, shortening the lifecycle.
• Assist in identifying threats and opportunities in the market and external environment.
• Contribute to the development of change solutions to optimise ERS technical and operational response.
• Identify contribution and other recovery issues and ensure they are pursued.

Skills

Decision making

Problem solving

Commercial awareness

Fraud indicators

Compliance knowledge

Job description

Overview

About us

ERS Syndicate 218 at Lloyds is managed by Starr. We are the UK’s largest specialist motor insurer with an A+ rating and have been making motoring passions and livelihoods possible since 1946. We work exclusively with motor insurance brokers to help get under the skin of the most difficult insurance risks, helping build products to meet their customer’s needs.

Starr is a global insurance and investment organisation providing property and casualty insurance solutions to business and industry. Starr has grown into one of the world’s fastest‑expanding insurance organisations, writing business in 128 countries across six continents. Our talented and experienced associates manage risk and ultimately support the profitable growth of organisations in a dynamic, competitive and ever-changing marketplace. Join us and become part of our talented and passionate workforce.

Role Purpose

Our Claims Validation Handlers prevent and detect motor claims fraud defending the company from suffering unnecessary losses. They do this by managing a portfolio of suspected fraudulent claims by conducting desktop enquiries, including database searches and arranging investigations appropriate to the claim to achieve a cost‑efficient conclusion and minimal financial loss to the company.

The location for this role is our Swansea office and the classification is Hybrid. Typically, this has entailed three days collaborating with colleagues in the office and two days working from home per week.

Key responsibilities

• Investigate and resolve fraud claims to drive optimum outcomes whilst controlling the investigation and litigation costs.
• Manage referral allocation to ensure that appropriate cases are retained, development feedback provided to individuals on cases that are returned to business units and use the information to constantly review the Fraud Indicators & Mandatory Referrals into CVU
• Assist in the development and application of claims strategies with an aim to conclude claims in an economical and efficient way and to drive down the length of ‘claims lifecycle’.
• Assist in identifying threats and opportunities in the market and external environment.
• Contribute to the development of change solutions to optimise ERS technical and operational response.
• Identify contribution and other recovery issues and ensure that these are successfully pursued.

The above duties and responsibilities are not an exhaustive list, and you may be required to undertake other reasonable duties compatible with your experience and competencies. This description may be varied from time to time to reflect changing business requirements.

Qualifications, skills and experience

Essential

• Excellent decision making and problem-solving skills, capable of defining problems clearly and logically and able to make key decisions to achieve your goals.
• Commercial awareness and will be aware of the effect that internal and external variables can have on business operations.
• Knowledge of fraud indicators
• Awareness of pre and post litigation procedures
• Current knowledge of compliance, regulatory and statutory requirement

Desirable

• A strong knowledge of dealing with Indemnity, Liability, Credit Hire, and Personal Injury is highly preferable.

Core behavioural competencies

• Analysis and Decision Making
• Innovation and Problem Solving

• Strategic Perspective
• Commerciality
• Communication and Influence
• Resilience and adaptability

Additional Information

• A full job description will be found here.

Starr is an equal opportunity employer, which means we will consider all suitably qualified applicants regardless of gender identity or expression, ethnic origin, nationality, religion or beliefs, age, sexual orientation, disability status or any other protected characteristic. We recruit and develop our people based on merit and we're committed to creating an inclusive environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to grow our own talent and bring out the best in people.