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Fraud Investigator, Level 1 – 12 Month FTC
First CentralFraud Investigator role at 1st Central focusing on investigating fraudulent claims. Engaging with customers and external suppliers to gather evidence and assess claims.
About the role
Key responsibilities & impact- You’ll carry out thorough investigations and gather evidence on suspected fraudulent claims for personal injury, vehicle damage and credit hire
- You’ll conduct telephone interviews with customers as well as engaging external suppliers including accident investigators, motor engineers and panel solicitors
- You’ll assess evidence including intelligence, Police reports, medical records and engineering evidence to identify inconsistencies and determine the outcome
- You’ll identify cases of potential Fundamental Dishonesty, private prosecutions, or professional enabler involvement
- You’ll provide advice and support to business areas with regard to potential fraud risks.
- You’ll process payments on claims files as required and in accordance with authorities.
- You’ll ensure claim files are reserved accurately and reserves amended where required.
- You’ll meet agreed fraud KPI’s and targets.
- You’ll ensure compliance with Company financial crime procedures and related policies.
- You’ll submit Suspicious Activity Reports as necessary to the Company MLRO.
- You’ll ensure compliance with Consumer Duty principles when liaising with customers.
- You’ll build and maintain relationships both internally and externally.
- You’ll be compliant with health and safety policies at all times.
- You’ll ensure compliance with company and other relevant standards/ regulations at all times.
- You’ll produce high quality written reports and advice for the business, to include recommendations.
Requirements
What you’ll need- Strong experience of handling fraudulent customer, third party damage and personal injury claims.
- Proven track record in investigating both opportunistic and organised motor fraud.
- Managing a caseload with adherence to SLAs
- Proven track record of stakeholder management
- Strong understanding of motor insurance fraud and the purpose of a Counter Fraud Team
- Strong understanding of the various indemnity levels and the subsequent impact that this may have on the claim/policy
- Strong understanding of Part 7 and Part 8 Proceedings
- Strong understanding of the litigation process and the impact that this has on the business both procedurally and economically.
- Strong understanding of regulatory responsibilities (SMRC)
- Excellent knowledge of FCA requirements (including TCF) an the regulatory framework relating to general insurance.
- Strong communication skills, both verbal and written.
- Strong negotiation and influencing skills.
- Strong time management and organisation skills with the ability to prioritise work.
- Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems.
- Excellent customer service skills.
- Computer literate, to include Word, Excel, PowerPoint and the internet.
Benefits
Comp & perks- Flexible working arrangements
- Professional development opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Fraudulent Claims HandlingCase ManagementLitigation Process UnderstandingIndemnity Levels KnowledgeFCA Requirements Knowledge
Soft Skills
Strong Communication SkillsNegotiation SkillsTime ManagementOrganizational SkillsCustomer Service Skills