Claims Fraud Consultant supporting UK Claims team in fraud strategy. Influences fraud operations and ensures adherence to market-leading practices for operational excellence.
Responsibilities
Supervise and manage the Third Party Administrator, conduct case reviews and audits, identify leakage or process gaps, and maintain a strong working relationship.
Provide fraud expertise, supporting the UK Claims Manager with large or complex cases and presentations to reinsurers and internal stakeholders.
Initially manage fraud claims directly, later supporting leadership as the team grows, and contribute to the design and delivery of technical training to strengthen fraud capability.
Contribute to the development of the Global Claims Platform, shaping efficient processes and driving its evolution.
Support the long-term fraud strategy, establish robust governance and performance frameworks, and ensure adherence to protocols and case strategies.
Lead change initiatives to improve efficiency, digital adoption, and customer experience, while acting as the final escalation point for complex or high-value fraud cases.
Requirements
Proven experience in managing Claims Fraud, aware of current market strategies.
A high level of technical competency, which can be demonstrated in case handling and through case discussion.
A high level of knowledge of market-leading Fraud tools such as SIRA.
Ability to utilise data to interpret performance trends and translate insights into actionable commercial strategies.
Highly effective communicator and influencer with strong influencing skills, capable of building credibility and managing relationships with both internal senior leaders and external partners.
Benefits
Enjoy hybrid working, with a mix of home and office days.
Access to learning resources, mentorship and a growth plan tailored to you.
Private healthcare, gym discounts, wellbeing programs and mental health support.
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