Counter Fraud Policy Investigator
Bromley, England, United Kingdom
• Delivering counter fraud benefit by identifying and undertaking investigations of insurance fraud, whilst also maintaining effective portfolio management.• Ensuring all cases follow legislation and risk regulations set internally and by external governing bodies, whilst ensuring SLA’s and the lifecycle of cases are kept within process guidelines.• Managing customer expectations, including enquiries into indemnity, liability and updating them throughout the lifecycle of an investigation.• Demonstrating capability in preventing and detecting insurance fraud and having the ability to manage potential outcomes including; cancellation, voidance, repudiation, negotiating settlement, litigation and recovery.• Conducting cognitive investigation interviews, assessing behaviour and fraud types to make sure informed decisions are made, whilst controlling the cost of investigations by identifying threats, leakage and referring to senior staff members.• Providing advice, guidance and direction to relevant key stakeholders including; Underwriting, Customer Relations, AML, Internal investigations, Bodily Injury, Motor Claims and Home Claims to maximise fraud detection opportunities.