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Claims Investigation Specialist
2 months ago
Auto & General is a leading provider of insurance solutions, dedicated to safeguarding the future of our customers. Our multi-award-winning brand, Budget Direct, offers a range of general insurance products that protect customers' most valued possessions.
The RoleWe are seeking a highly skilled Claims Investigation Specialist - Fraud & Investigations to join our team. As a key member of our Risk Assessment Hub, you will be responsible for building and implementing a robust compliance, intelligence, and investigative framework to ensure effective corporate fraud identification and prevention strategies are in place.
Key Responsibilities- Team Management: Directly manage a team of one analyst, providing coaching, guidance, and performance management.
- Fraud Strategy Development: Develop and implement a comprehensive internal fraud strategy, including predictive analytics and risk assessment methodologies.
- Investigation and Resolution: Lead the investigation of suspected internal fraud cases, ensuring timely and effective resolution of claims.
- Training and Awareness: Develop and deliver training programs to raise awareness of internal fraud risks and best practices across the organization.
- Performance Monitoring: Monitor and report on key performance indicators (KPIs) related to internal fraud detection and prevention.
- Regulatory Compliance: Maintain a strong understanding of relevant regulations and industry best practices.
- Process Improvement: Identify and implement process improvements to enhance the effectiveness of the internal fraud program.
- Collaboration and Communication: Collaborate with other departments to share intelligence and promote a culture of compliance.
- Operational Procedures: Support development and review of all Operating Procedures and documentation to ensure compliance with current regulatory obligations, standards, and Auto & General guidelines.
- Leadership Experience: Proven experience in leading and managing a team in a fraud investigation or compliance environment.
- Fraud Risk Management: Strong understanding of internal fraud risks and mitigation strategies.
- Predictive Analytics: Expertise in developing and implementing predictive analytics and risk assessment methodologies.
- Stakeholder Engagement: Strong stakeholder engagement, team, and management skills.
- Education and Experience: 3+ years of experience working within a similar position. A background in a fraud environment is desirable. Police investigative or intelligence experience will be favourable. A degree in investigations, intelligence, or data analysis would be preferable. Knowledge of HR policies and processes an advantage.
- Extra Leave: Enjoy additional leave days on us. You'll receive a paid 'ME' day and one paid volunteer leave day annually. Team members can also purchase up to two additional weeks of leave per year.
- Paid Parental Leave: We support our new parents with paid parental leave and other benefits.
- Workplace Giving: If you're passionate about a cause, then we are too – we offer workplace giving and we'll dollar match your donations to registered charities.
- Development Opportunities: We're championing your development with internal programs and access to a wide range of online courses.
- Employee Discounts: You'll receive discounts on Budget Direct insurance products.
- Reward and Recognition: We reward high performance with employee recognition, reward, and incentive schemes.
- Onsite Facilities: There's excellent end-of-trip facilities on offer and private spaces for nursing mothers.
- Perks App: Access to an employee benefits and discounts app called 'Perks' offering your great discounts, offers, and programs across a range of areas.
