Fraud Claims Handler

We are seeking to recruit experienced Fraud Insurance Claims Handlers to join our expanding Firm.

Reporting to the Team Leader, you will be responsible for identifying and desktop investigation of suspect claims within a fast moving claims handling unit.

You will draw investigations to conclusion and where fraud is believed to be evident, will pursue further investigations to gather evidence to support a repudiation. Upon completion of the investigation, a detailed report will be required to support your decision.

To be successful in this role, candidates will have previous proven experience of claims validation work from an insurance background or similar, dealing with claims in accordance with Ministry of Justice or Financial Services Authority procedures. Strong written, oral and interpersonal skills are essential, along with the ability to prioritise effectively and work efficiently to ensure targets and deadlines are met. Experience of working with a case management system would be desirable, however is not essential.

Main Duties:

1. Action all cases in line with the Firm/Client service standards and protocols
2. Use of the Case Management system and/or use of standard documentation
3. Work with the loss adjuster or insurer to ensure the claim is genuine
4. Liaise with others within the claims team to discuss liability issues when required in order to process the claim effectively
5. To Liaise professionally with all relevant parties in order to progress claims
6. To maintain at all times good professional and ethical standards in dealing with client’s and other persons and interests.

The above is not an exhaustive list of duties and you will be expected to perform different tasks as necessitated by your role and the overall business objectives of the Firm.