Claims Fraud Investigator - ERS : Job Details

Claims Fraud Investigator

ERS

Job Location : Swansea, UK

Posted on : 28/01/2025 - Valid Till : 11/03/2025

Job Description :

Drive your Career Forward!

A career as a Claims Fraud Investigator at ERS is both challenging and immensely rewarding. This role offers the opportunity to become a key member of a fast-paced, continually evolving team within the UK’s largest specialist motor insurer.

As a Claims Fraud Investigator 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.

Claims Fraud Investigator - 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.

Claims Fraud Investigator - Desirable behavioural attributes

  • Enthusiasm and passion about fraud prevention.
  • Excellent decision making and problem-solving skills with the ability to make key decisions to achieve the right outcomes for our customers and the business.
  • Ability to perform in a fast-paced environment.
  • Strategic and Inquisitive thinker with a methodical approach to work.
  • A high level of self-motivation and a willingness for personal development.
  • Strong interpersonal and organisational skills.
  • Excellent communication skills, both written and orally.
  • Counter Fraud/Financial Crime experience desirable.
  • Claims handling experience desirable.

Benefits:

  • Competitive Benchmarked Salary
  • 25 days holiday
  • Discretionary bonus scheme
  • Employee assistance programme
  • Annual holiday buy (up to 3 extra days)
  • Salary sacrifice benefits
  • Annual benefits reviews
  • The option for professional qualifications and study support

Salary : -

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