Overview
You will report to the Senior Claims Manager and work alongside specialist claims handlers to manage suspicious claims and shape fraud prevention strategies.
In doing this, you will review referred cases, analyse claims data, and coordinate investigative efforts to combat fraudulent activity.
This role is a key part of the Claims Anti-Fraud team within our Irish-owned insurance provider.
You will engage external resources, support referrals to An Garda Sochna for potential prosecution, and strengthen the credibility of Anti-Fraud initiatives.
You will also present findings to senior stakeholders, including the Board of Directors and Stakeholders, as well as contribute to fraud awareness training within the company.
Your Key Responsibilities:
* Act as the primary contact and referral point for the Garda National Economic Crime Bureau (GNECB), the Criminal Assets Bureau, and peers in other insurers.
* Analyse claims data to identify fraud patterns and tackle fraudulent activity in groups rather than individually.
* 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 (IFCO).
* Liaise with Garda investigating officers, secure evidence from local Garda divisions, and facilitate Data Protection requests.
* Monitor Circuit Criminal Court cases involving claimants, attend sentencing, and instruct defence solicitors when necessary.
Your Background:
* Extensive experience in law enforcement (An Garda Sochna, PSNI) or private investigations at a senior level within financial fraud.
* A commensurate network of professional contacts within these areas is desirable.
* Proven ability to coordinate investigations, set strategy, and manage fraud-related cases.
* Proficient in digital systems and knowledgeable about data protection regulations.
* Strong management experience, including senior-level engagement and/or project management.
What You'll Get:
* Opportunity to lead and manage high-profile fraud investigations with national impact.
* Exposure to working closely with senior-level stakeholders, including law enforcement agencies and industry peers.
* Involvement in shaping fraud prevention strategies and contributing to organisational goals.
* Experience working with advanced digital systems and investigative tools.
* DIRECT INFLUENCE ON ENHANCING THE EFFECTIVENESS AND PROFILE OF ANTI-FRAUD INITIATIVES WITHIN OUR COMPANY.