Job description

Job Title: Home Claims Counter Fraud Investigator
Location: UK-East Midlands-Nottingham
Hybrid - 1 day per week in the office
£26 - 28k plus great benefits

Overview:

Responsibilities:

• Screening incoming Home referrals against known fraud indicators and other risk factors, identifying cases where investigation is required.
• Utilising a variety of desktop tools (CUE, MIAFTR etc) as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation.
• Telephonic interviewing of claimants utilising specialist cognitive interviewing and conversation management techniques in order to further determine risk and separate honesty from inconsistency.
• Pursuing follow up inquiries with external parties including regulatory and licensing authorities, other insurers and law agencies.
• Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists.
• Validating documents.
• Assessing the completed 'evidential picture' in order to determine the correct outcome for the claim.
• Managing claims caseload, in accordance with the Markerstudy claims philosophy, claims handling procedures and service levels.
• Adhering to agreed personal authority limits, referring to line manager for authorisation where activity exceeds such limits.
• Ensuring compliance with all regulatory requirements (including "treating customers fairly" principles).
• Responding promptly and pro-actively to incoming telephone calls and correspondence by use of telephone, e-mail and letter.
• Maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis.
• Developing and maintaining effective relationships with colleagues and business partners.
• Pro-actively managing personal training and development requirements.
• Undertaking general claims tasks, as required

• To adhere to Company processes with regard to FCA compliance and Treating Customers Fairly;
• To ensure that DPA, FCA & TCF and other regulatory requirements are met.