Job Title:
Anti-Fraud Consultant
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Job Summary:
We are seeking a skilled Anti-Fraud Consultant to work alongside our claims handlers and specialist teams. The ideal candidate will review suspicious claims, analyse data, and coordinate investigative efforts to combat fraudulent activity.
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Key Responsibilities:
* Act as the primary contact and referral point for law enforcement agencies and peers in other insurers.
* Analyse claims data with MI and reporting teams to identify fraud patterns and tackle fraudulent activity in groups.
* Advise claims handlers on case referrals and the strategic use of external investigative resources.
* Coordinate with private investigators and external fraud specialists to manage complex fraud cases.
* Prepare and submit investigation files on suspected fraudulent claims to the Insurance Fraud Coordination Office.
* Liaise with investigating officers, secure evidence, and facilitate Data Protection requests.
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Requirements:
* Extensive experience in law enforcement or private investigations within financial fraud.
* Proven ability to coordinate investigations, set strategy, and manage fraud-related cases.
* Proficient in digital systems and knowledgeable about data protection regulations.
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Skills:
Claims Anti Fraud
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