Fraud Investigator

TN United Kingdom; Manchester; Hybrid; GBP 30,000 - 50,000; Full time

Job summary

An innovative insurance company is seeking a Fraud Investigator to join their dynamic team. In this exciting role, you will leverage your critical thinking and investigative skills to uncover fraudulent claims and protect both the business and its customers. You will manage a caseload of various claims, engage with external suppliers, and ensure compliance with company policies. This position offers the flexibility to work from home part of the week while being part of a supportive and energetic work environment. If you are passionate about fraud prevention and enjoy working collaboratively, this opportunity is perfect for you.

Benefits

Flexible working hours

Supportive work environment

Career development opportunities

Health and wellness programs

Qualifications

• Strong experience in handling fraudulent claims.
• Proven track record in investigating motor fraud.
• Excellent verbal and written communication skills.

Responsibilities

• Investigate suspected fraudulent claims and gather evidence.
• Conduct telephone interviews with customers and external suppliers.
• Produce high-quality written reports and advice for the business.

Skills

Critical thinking

Attention to detail

Case management

Investigative techniques

Communication skills

Analytical skills

Problem-solving

Time management

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

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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 small details to uncover evidence of fraud.

Case management: Handle investigations from start to finish, ensuring all necessary steps are taken.

Investigative techniques: 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 regarding 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 KPIs 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.
• 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, including recommendations.
• Perform any other reasonable duties as required.
• Carry out duties, activities and tasks as directed within the Claims and Fraud pillar.

Experience & knowledge:

• Strong experience in 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 stakeholder management skills.
• Strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team.
• Understanding of indemnity levels and their impact on claims/policies.
• Knowledge of Part 7 and Part 8 Proceedings.
• Understanding of the litigation process and its procedural and economic impacts.
• Knowledge of regulatory responsibilities (SMRC).
• Excellent verbal and written communication skills, including negotiation and influencing skills.
• Good time management and organisational skills with the ability to prioritise.
• Analytical and problem-solving skills, with a logical approach to resolving issues.
• Computer literacy, including Word, Excel, PowerPoint, and internet use.

Behaviours:

• Self-motivated and enthusiastic.
• Consistently demonstrates a positive attitude.
• Ability to receive and give constructive feedback.
• Proactive in workload management.
• Identifies and communicates potential process and efficiency improvements.
• Embodies and promotes company values.
• Passionate about reducing business exposure to fraud risk.
• Attention to detail and accuracy.
• Ability to work independently 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.

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.