Counter Fraud Motor - Referral Lead
at Direct Line Group
Leeds, England, United Kingdom -
| Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
|---|---|---|---|---|---|---|---|
| Immediate | 23 Jan, 2025 | Not Specified | 24 Oct, 2024 | 2 year(s) or above | Good communication skills | No | No |
Required Visa Status:
| Citizen | GC |
| US Citizen | Student Visa |
| H1B | CPT |
| OPT | H4 Spouse of H1B |
| GC Green Card |
Employment Type:
| Full Time | Part Time |
| Permanent | Independent - 1099 |
| Contract – W2 | C2H Independent |
| C2H W2 | Contract – Corp 2 Corp |
| Contract to Hire – Corp 2 Corp |
Description:
Responsibilities:
- Deliver Counter Fraud benefit by identifying and investigating insurance fraud and undertaking investigations to validate or substantiate concerns.
- Effective portfolio management, including proactive review of new work and conversion to detected benefit, whilst ensuring SLA’s and the lifecycle of cases are kept within process guidelines.
- Demonstrate all cases adhere to legislation and risk regulations set internally and by external governing bodies.
- Management of customer expectations, including enquiries into indemnity, liability and updating them appropriately throughout the lifecycle of an investigation.
- Demonstrate capability in preventing and detecting insurance fraud, with the ability to effectively manage potential outcomes including, but not limited to; cancellation, voidance, repudiation, negotiating settlement, litigation and recovery.
- Mitigate spend and control the cost of investigations by identifying threats, leakage and where appropriate referring to senior staff members. Have knowledge, understanding and control of file reserving when required.
- Provide advice, guidance and direction to relevant key stake holders including, but not limited to; Underwriting, Customer Relations, AML, Internal investigations, Bodily Injury, Motor Claims, Home Claims and Technical and Large Loss to maximise fraud detection opportunities.
- Understand the balance between preventing fraud and treating our customers fairly, removing innocent parties from the process at the earliest opportunity and minimising avoidable complaints.
- Role model effective portfolio management and be skilled at handling complex cases.
- Effectively manage and control fraud rings, ensuring adherence to agreed strategic approach and outcomes.
- Technical referral point for team members and the wider department, sharing industry updates, providing coaching, mentoring, signing off key decisions, undertaking quality reviews.
REQUIREMENT SUMMARY
Min:2.0Max:7.0 year(s)
Insurance
Banking / Insurance
Insurance
Graduate
Proficient
1
Leeds, United Kingdom
