Motor Claims Crime Prevention Consultant

We have a new opportunity for a Motor Claims Crime Prevention Consultant in our dedicated Linked & Organised team.

This is a full-time hybrid role with flexibility on office location at either our Leeds, Bournemouth, or Chelmsford offices. We require you to be within a 60‑minute commute of your nearest Allianz office. We offer flexibility, and specific arrangements can be discussed during the interview process.

Pay:
Circa £32,000, dependent on skills and experience.

• Prevent, investigate and detect insurance claims fraud through the proactive management case portfolio’s, providing business referral support and working with external bodies such as the Insurance Fraud Bureau and other law enforcement agencies.
• Responsibility for the decision making in respect of the retention of referrals from internal and external sources to the Claims Crime Prevention Teams, returning genuine claims urgently with constructive feedback.
• To compile mandatory intelligence searches and more advanced ad hoc searchers as required to aide decision whether to retain or return claim.
• To engage with other departments support relationships and provide technical support.
• Ability to carry out appropriate Intel searches to ascertain is the claim is genuine or potentially fraudulent. This involves working across all systems and databases and evaluation of this data.
• To have a basic understanding of the different types of fraud scenarios and determining appropriate investigations to resolve suspicions of fraudulent activity.
• To effectively manage own development portfolio within individual authority or on referral where applicable, implementing a wide range of relevant investigative techniques including instruction of suppliers to maximise the identification and repudiation of fraud while minimising any adverse impact upon customer experience, financial spend and company reputation.
• Where a claim is deemed potentially fraudulent to capture and highlight relevant concerns and record this information accurately.
• To update and maintain the case management system database and any other fraud software applications as directed.
• To identify potential linked and organised cases, as well as claims farming (KYO) refer these to a senior level.
• To identify and highlight specific fraud trends or companies to senior level.
• To be responsible for complying with all internal, regulatory and statutory standards and controls, so that the requirements of the Group and regulatory bodies are met.
• Liaise with law enforcement and industry bodies. On referral.
• Negotiate effectively with Policyholders & Third Parties to conclude settlement if appropriate.
• To manage litigation and ensure cases are progressed in a effective, timely and cost effective manner with approval and referral to mentor or senior.
• To manage all complaints and to be responsible for maintaining contact with our customer through the complaint procedure, including keeping the complaints database up to date with support from senior level.
• To manage their own self development and contribute to their 1-2-1’s, team discussions, and continuous improvement programmes.

• Understanding of Motor Claims Liability.
• To demonstrate a positive and proactive approach to the customer at all times during investigation keeping in line with TCF.
• To understand and adherence to the Data Protection Act, including section 29 requests.
• To be aware of and be able to demonstrate an understanding of claims and underwriting processes used across LV= Operations.
• Experience of negotiating with solicitors.
• To have a basic understanding of principles of insurance, money laundering and POCA.
• To have an awareness of personal injury claims, the MOJ/OIC process and required actions.
• To have a basic understanding of investigation principles.
• Understanding of Indemnity.
• To have a basic knowledge of basic credit hire principles and fee structure.
• To demonstrate good communication skills both over the telephone and face to face, at all levels.
• To have a basic understanding of insurance case law relating to fraud.

• Flexible buy/sell holiday options.
• Hybrid working.
• Annual performance related…