Key Responsibilities:
- Investigate a portfolio of commercial claims identified as potentially fraudulent.
- Promote the Commercial Investigations Team and raise its profile among commercial adjusting colleagues and clients.
- Conduct recorded telephone and video interviews to gather evidence.
- Plan and execute interviews and investigations.
- Obtain properly formatted statements.
- Manage your caseload, conducting investigations and gathering necessary evidence.
- Maintain communication with policyholders, ensuring accurate information is recorded and evidence secured.
- Liaise with third parties such as brokers, contractors, and suppliers to validate claims, and engage with the police and external agencies as needed.
- Stay up to date with legislation and industry best practices related to insurance investigations.
- Handle settlement inquiries, negotiating and utilising the insurer supply chain network as necessary.
- Challenge policyholders on fraudulent activity when required.
- Prepare detailed reports for insurers, highlighting concerns and making recommendations.
- Issue repudiation and fraud outcome letters to customers.
- Adhere to strict SLA requirements and maintain high levels of customer service.
- Accurately log all chargeable and non-chargeable time.
- Manage complaints in line with FCA guidelines.
- Identify, track, and document fraudulent activity using data, technology, and investigative skills.
- Report fraudulent activity to bodies such as IFB, IFIG, and IFED.
- Meet objectives set during Progressive Performance meetings and align with operational goals.
- Comprehensive understanding of insurance principles, particularly in commercial and property claims, including business interruption.
- Expertise in Commercial, Property, and Business Interruption claims.
- Thorough knowledge of case law, statute, and legal liabilities.
- Solid understanding of indemnity and its application.
- Knowledge of building construction as it relates to claims.
- Ability to identify, secure, and preserve evidence.
- Proficient in MS Word and Excel.
- Understanding of FCA guidelines and their application in the business.
- Familiarity with complaints handling procedures.
- Knowledge of GDPR requirements and their application in the role.
- Excellent interpersonal and communication skills with the ability to show empathy.
- Inquisitive nature with a keen eye for detail.
- Strong written and verbal communication skills.
- Skilled in negotiation to achieve desired outcomes.
- Ability to prioritise and manage workload effectively.
- Strong relationship-building skills with clients and colleagues.
- Conscientious and hardworking, with a drive to meet personal and team targets.
- Flexible and adaptable, willing to assist others in times of need.
- A collaborative team player.
What You’ll Receive:
- Competitive salary based on skills, experience, and qualifications.
- Flexible working arrangements.
- Support for obtaining insurance qualifications.
- Healthcare plan.
- Self-Invested Personal Pension (SIPP) scheme.
- 25 days of holiday plus bank holidays.
- Discounts on a range of products and services.
- Employee assistance program for well-being.
- Life assurance.
- Group Income Protection.
- Voluntary benefits including dental cover, cycle-to-work scheme, season ticket loan, well-being apps, and digital GP access.