Fraud Investigator - Home Claims
Sedgwick
- United Kingdom
- Permanent
- Full-time
Top 100 Most Loved Workplace®
Forbes Best-in-State EmployerFraud Investigator - Home ClaimsHome Investigations is an integral part of Sedgwick, providing our internal and external clients with a robust counter fraud response. We do not adopt a one size fits all approach but deliver a cost-effective defence against fraud. Our work requires skilled and talented individuals to assess certain claims that are potentially fraudulent, so the work is never dull. Continued growth gives us the opportunity to welcome new talent to our team.The role of the Fraud Investigator involves handling claims for a key client on a delegated authority basis through the use of conversation management via both video & telephone, so you’ll need to be a confident communicator and comfortable with technology.Handling both domestic & commercial claims identified as potentially suspect following initial client led triage, you’ll manage your caseload carrying out necessary investigations, enquiries and validation activities. Pro-activity is key - maintaining constant contact with our policyholders and taking accurate information and records, mindful of the customer journey and need for accuracy.You’ll engage with stakeholders including commodity suppliers to help validate claims and also undertake enquiries with the police where necessary, to enable you to complete swift settlement enquiries through negotiation and the use of the Insurer supply chain network.The role also involves;
- Keeping abreast of current legislation and codes of practice as they relate to insurance investigations
- Issuing repudiation & fraud outcome letters to customers
- Dealing with complaints and seek to resolve within the FCA guidelines
- Identifying, managing and evidencing fraud through the use of data, technology and a strong investigative mindset.
- Reporting and evidencing fraudulent activity to the IFB, IFIG & IFED
- Claims handling experience or wider insurance industry experience
- A working knowledge of industry standards and detection benchmarks
- Some technical knowledge of home and/or commercial insurance policies and documentation
- Some experience of investigating fraudulent claims and/or experience in handling a portfolio of general domestic/commercial claims with an interest in fraud
- Ideally Cert CILA or Cert CII qualified
- An understanding of the role of the IFB, IFIG & IFED & the ability to refer cases that hit the evidential threshold would be beneficial
- Prior conversation management experience is desirable
- Competitive salary depending on skills, experience and qualifications
- Healthcare scheme
- A Self Invested Personal Pension Scheme
- Holiday allowance of 25 days plus bank holidays
- Discounts on various products and services
- Employee assistance programme for employee wellbeing
- Life assurance
- Group Income Protection
- Voluntary benefits – dental cover, cycle to work scheme, season ticket loan, wellbeing and digital GP apps
- Flexible working