MES Consultant collaborating with local and international teams in the pharmaceutical manufacturing sector. Supporting the implementation of industrial IT solutions and production management systems.
About the role
- 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.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Consultant specializing in Precious - Metals - Recycling/Refining processes, improving measurable workflows without operational responsibility. Focused on consulting in various related industries.
Senior Consultant specializing in Cash and Liquidity Management consulting for clients using SAP S/4HANA. Analyzing and implementing digital business processes for effective financial management.
Consultant for precious metal accounting supporting clients in establishing robust accounting processes. Focus on documentation, reconciliation, and reporting in a consulting environment.
UKG Consultant serving as a functional subject matter expert for workforce management solutions. Leading functional discovery sessions and supporting training and adoption of UKG solutions.
Senior Consultant managing UKG Pro Workforce Management at OhioHealth. Leading complex initiatives and optimizing workforce management processes with a focus on compliance and governance.
ITSM Consultant enhancing company processes according to ITIL standards. Overseeing and optimizing internal IT process landscape with a focus on continuous improvement.
Senior Lead Business Execution Consultant supporting the South Central Division of Wells Fargo's Commercial Bank. Designing and executing strategic initiatives with senior leadership.
Workforce Management Senior Consultant leading forecasting and staffing strategy for multi - skilled operations. Enhancing customer experience outcomes and enabling operational excellence.
Senior Analytics & Reporting Consultant creating business insights and providing analytics support at HCSC. Responsible for designing datasets and reports while collaborating with users and teams to address business issues.