Claims Fraud Team Leader

at  Zego

ABOUT ZEGO

At Zego, we know that traditional motor insurance holds good drivers back. It’s too complicated, too expensive, and it doesn’t take into account how well you actually drive.
That’s why, since 2016, we’ve been on a mission to change all of that. Our mission at Zego is to offer the lowest priced insurance for good drivers.
From van drivers and gig workers to everyday car drivers, our customers are our driving force — they’re at the heart of everything we do.
We’ve sold tens of millions of policies so far, and raised over $200 million in funding. And we’re only just getting started.

ROLE OVERVIEW:

As the Claims Fraud Team Leader at Zego, you will be responsible for overseeing a team of fraud Investigators dedicated to detecting, investigating and fighting fraudulent claims. Your primary focus will be on managing the day-to-day operations of the team, ensuring that fraud cases are handled proactively but with laser focus on quality and excellence whilst also understanding applying a commercial and pragmatic approach.. This role requires strong leadership skills, a deep understanding of motor insurance and fraud, and the ability to work collaboratively across various departments.

KEY RESPONSIBILITIES:

• Team Leadership & Management:
• Lead, manage, and develop a team of claims fraud investigators/claims handlers, fostering a culture of excellence and continuous improvement.
• Set clear performance expectations, conduct regular reviews, and provide ongoing coaching and support to team members.
• Ensure the team operates efficiently, with well-defined roles, responsibilities, and objectives.
• Undertake regular 121 review sessions with your team members in accordance with frequency agreed with your line manager and ensure development plans and priorities are in place to ensure continuous improvement through self learning including growth and goal setting.
• Fraud Detection & Investigation:
• Oversee the detection, investigation, and resolution of potential fraud cases within the claims process.
• Ensure that all claims flagged for fraud are thoroughly investigated, with appropriate actions taken to mitigate risk.
• Review and approve fraud investigation reports, ensuring accuracy and compliance with company standards.
• Operational Management:
• Manage the daily operations of the claims fraud team, including case assignment, workload distribution, and process optimisation.
• Develop and implement best practices for fraud detection and claims handling, ensuring operational efficiency and effectiveness.
• Monitor key performance indicators (KPIs) to track team performance and identify areas for improvement.
• Collaboration & Communication:
• Work closely with other departments, including Claims teams, Underwriting, Legal, Compliance, and Customer Service, to ensure a coordinated approach to fraud prevention.
• Liaise with external stakeholders, such as panel solicitors, law enforcement, industry bodies, and fraud prevention networks, to enhance fraud detection capabilities.
• Communicate findings and insights from fraud investigations to senior management and other relevant stakeholders.
• Training & Development:
• Identify training needs within the team and provide appropriate development opportunities to enhance skills and knowledge.
• Complete regular quality audits on claims investigators
• Stay up-to-date with the latest trends and techniques in fraud detection and prevention, and ensure the team is informed of relevant updates.