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Insurance Claims Examiner
1 week ago
About the Role
We are seeking an accomplished Investigations Coordinator to join our team at Fuse Recruitment. In this dynamic role, you will play a pivotal part in managing a portfolio of investigated insurance claims, ensuring adherence to our client's policies and procedures. Your expertise will be utilized to gather evidence, conduct interviews, and review documents to verify the circumstances surrounding a claim.
Key Accountabilities:
- Effective management of a portfolio of investigated claims.
- Conduct thorough interviews, searches, and document requests to assess claim legitimacy.
- Review reports, analyze findings, and guarantee compliance with relevant regulations.
- Oversee external investigators, evaluating their findings and providing recommendations.
- Compile reports outlining claim acceptance or denial recommendations.
- Prioritize customer inquiries, demonstrating exceptional professionalism and empathy.
Essential Skills and Qualifications:
- Demonstrated proficiency in intermediate to advanced insurance knowledge, particularly within Investigations.
- Desirable: Possession of Investigations qualifications.
- Strong understanding of insurance policy and claims systems.
- Competent in Microsoft Office applications (Word, Excel, Outlook).
- Thorough knowledge of motor vehicle fraud risks, insurance investigations, and relevant legislation.
- Superior interpersonal, communication, and problem-solving skills with attention to detail.
- Capacity to work independently and collaboratively.
What We Offer:
- An attractive compensation package aligned with experience.
- A flexible working arrangement, balancing office and remote work.
- A substantial discount on motor vehicle insurance.
- Ongoing opportunities for professional development and growth.
