Claims Fraud Investigator

at  ERS Administration Services

ABOUT US

ERS is the UK’s largest specialist motor insurer with an A+ rating. We recognise that for some, motor insurance is more than just a must-have; it’s a way of taking care of what stands at the heart of their passion or livelihood. For those people, standard insurance isn’t enough. That’s why 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.

ADDITIONAL INFO

• A full job description will be found here

THE ROLE

We are looking for a Fraud Investigator to join our Claims Counter Fraud team in Swansea on a permanent basis. This is a Hybrid role which entails three days collaborating with colleagues in the office, and two days working from home each week.
You’ll be working as part of a high-performing team, providing front line defence against motor claims fraud, whilst preventing the company from suffering unnecessary financial loss. The successful applicant will help reinforce ERS’ stance of a zero-tolerance approach to any fraud.

KEY RESPONSIBILITIES

• Reviewing claim referrals from internal and external sources against known fraud indicators to both identify suspect claims warranting further investigation and validate genuine claims for prompt settlement.
• Manage a varied portfolio of suspected fraudulent claims to outcome through efficient investigation and effective evidence-based decision making.
• Adhere to claims handling philosophies and procedures, and service level agreements, specifically around new referral review and case-handling timescales.
• Engaging with external suppliers including accident investigators, motor engineers and panel solicitors.
• Ensuring customers receive good quality claims servicing, whether a victim of fraud or a subject of interest in our investigation.
• Provide advice and support to other business areas with regards to potential fraud risks, and to provide feedback where necessary to continually strengthen our fraud detection ability.
• Carry out duties, activities and tasks with the upmost integrity and as directed by the Counter Fraud and Claims Management teams, and all relevant policies and regulations.