Fraud Investigator
A leading tech client is seeking a skilled Fraud Investigator to assist with contract-based work.
In this role, you will be responsible for:
* Conducting investigations into suspicious claims and activities on the platform.
* Managing cases, determining validity and resolutions based on internal policies.
* Handling designated inboxes through inbound and outbound tickets, contacting providers and users to obtain additional documentation and verify information.
* Liaising with other departments to confirm fraudulent account activities, working closely with stakeholders to align on case strategy.
* Compiling incident reports at the direction of leadership.
* Providing upward feedback regarding the status of claims, communicating regularly with supervisors and managers.
* Escalating identified fraud rings and risk issues as they arise.
* Promoting awareness of fraud prevention across the Claims team and organization.
Required skills include:
* Language proficiency in English and a second regional language (optional).
* Advocacy for high-quality standards, innovation, resolution conflict, and customer experience excellence.
* 2-3 years of experience in assessing complex claims and dispute resolution, insurance claims, conflict resolution, fraud or risk investigations, and/or crisis management.
* 2+ years of experience in customer service.
* Excellent interpersonal and communication skills, both written and spoken.
* Excellent time management, negotiation, conflict resolution skills, and confidence in making decisions.
* Ability to work independently on multiple tasks.
* Critical thinking and problem-solving skills.
* High attention to detail when working on complex cases.
* Passion for innovation with a 'work smarter' solution-oriented mindset.
Preferred experience includes:
* Additional fraud insurance investigation or program management experience.
* Experience handling complex insurance claims, especially in first-party property or liability claims.
* Understanding of Third Party Administrators/Adjusters concepts.
* Experience with Partner or Vendor relationships.
Morgan McKinley is acting as an Employment Agency and references to pay rates are indicative.