Claims Fraud Investigator - First Party

Posted 2 Days Ago
Be an Early Applicant
2 Locations
In-Office
Mid level
Big Data • Insurance • Analytics
The Role
Investigate first-party insurance claims (theft, fire, malicious damage) to detect fraud and validate genuine claims. Screen high-risk referrals, conduct telephone cognitive interviews, liaise with field and forensic suppliers, use desktop tools and databases for claimant profiling, and manage a claims caseload with accurate file discipline and reserves.
Summary Generated by Built In

Job Title: Claims Fraud Investigator – First Party

Location: Bexhill or Leicester (Hybrid)
 

Welcome to Hastings Direct
 

We’re a digital insurance provider with ambitious plans to become The Best and Biggest in the UK market. We’ve made huge investments in our data and tech capabilities over the past few years, along with nurturing our 4Cs culture. We’re proud of the journey we’re on as a company and know that our continued success will rely on the contribution of our talented colleagues. 

We provide insurance for over four million customers, but we know there’s even bigger opportunity out there. The fact you’re now reading this job advert means we’ve tempted you to find out more about #lifeatHD – we really hope you like what you see, and you’ll join us to share in the success of the exciting chapter that lies ahead.  
 

We understand some people may not apply for jobs unless they feel they tick every box. If you’re excited about joining us and think you have some of what we’re looking for, even if you’re not 100% sure we would love to hear from you

  
 

Role overview   
Work within our award-winning Fraud team at Hastings Direct and ensure we are looking to achieve our goal of all fraud off the table motto. You’ll be working within a team to ensure we’re protecting innocent customers from fraud by investigating concerns and ensuring we can stay competitive in the market as a result. You will be reviewing first party claims with a view of validating genuine claims and detecting any fraud/indemnity concerns which may lead us to decline the claim.


Job details – you’ll need to have demonstrable experience in:
 

  • Screening all First Party high risk claims such as theft/fire/single impact/malicious damage along with all referrals from claims teams

  • Screening incoming theft and arson claims against known fraud indicators and other risk factors, identifying cases where investigation is required

  • Telephone interviewing of claimants, utilising specialist cognitive interviewing and conversation management techniques to further determine risk and separate honesty from inconsistency

  • Providing focused instructions to, and subsequently liaising with, specialist investigative suppliers including field investigators, engineers and forensic specialists

  • Managing claims caseload in line with our philosophy and service levels, maintaining good file discipline and accurate reserves, together with an effective diary system which ensures that cases are reviewed on a regular basis

  • Utilising a variety of desktop tools as well as various internet checks and databases to assist with claimant profiling and to determine the direction of the investigation

  
 

Essential skills/experience:  
 

  • Claims handling experience (motor claims) with an understanding of fraud

  • Strong attention to detail – able to identify inconsistencies between various documents/evidence

  • Excellent problem-solving capability combined with effective communication skills


The interview process

Our interview process involves the below:   

  • Recruiter introduction and screening call

  • 1st stage interview with hiring leader (Team Leader)

As a Disability Confident employer, we’re committed to ensuring our recruitment processes are fully inclusive – for more information on the Disability Confident Scheme (DCS), please visit our inclusive business page on our careers website. For this position, we’re regrettably unable to accept applications through the DCS due to the extremely high volumes of applications we receive. However, you’ll of course have fair access to support and adjustments throughout your recruitment journey.  
Regrettably, we are unable to offer sponsorship for this role.  


Benefits: In addition to a competitive salary you will also receive… 

Flexible working – we champion a flexible hybrid working approach – please speak to your recruiter to discuss in more detail 

Competitive bonus scheme - all colleagues are eligible for our annual 4Cs performance bonus 

Financial wellbeing – as well as providing you with 4x your salary with our life assurance cover, income protection at no extra cost, and matched pension contributions up to 10%, we are proud to provide you with an award winning package which includes – discounts, cashback, free independent mortgage advice and free access to financial wellbeing support 

Mental wellbeing programme – we have the thrive mental health app, our colleague assistance programme available 24/7, our own in-house mental health first aiders, support groups and a dedicated team to make sure we are covering your needs 

There's more! – 25 days annual leave + bank holidays, with the option to buy or sell one of your weeks, access to our health care cash back plans, dental plans, discounted health assessments, Cycle to work and tech schemes, discounted and free onsite facilities, social events throughout the year and much more...

Join us and you’ll find a different way of doing things. We call it the 4Cs. We focus on getting it right for our colleagues, customers, company and community. As one of our colleagues, you’ll be helping to drive our growth, so in return, we’ll give you all the support, training and development you need. Our 4Cs principles are simple: we believe by creating the right culture for our colleagues and giving them the right tools to do their job, we’ll deliver good outcomes for every customer, helping us to grow the company profitably and sustainably and allowing us to invest in the communities we serve. 

Hastings Group is an equal opportunities employer which means we treat people fairly. We welcome applications from all suitably skilled persons regardless of their gender, age, race, disability, ethnic background, religion/belief, sexual orientation, gender reassignment or marital/family status. Please also note that we have a thorough referencing process, which includes credit and criminal record checks.

At Hastings Direct, we’re committed to creating an inclusive environment where everyone has the opportunity to succeed. If you require any reasonable adjustments during the recruitment process, we encourage you to be open with us. Our recruitment team is here to provide the support you need to ensure a fair and accessible experience for all.

Job posting end date:

Skills Required

  • Screening first party high risk claims (theft, fire, single impact, malicious damage) and referrals
  • Telephone interviewing using cognitive interviewing and conversation management techniques
  • Claims handling experience (motor claims) with an understanding of fraud
  • Provide focused instructions to and liaise with field investigators, engineers and forensic specialists
  • Manage claims caseload, maintain accurate reserves, good file discipline and an effective diary system
  • Utilise desktop tools, internet checks and databases for claimant profiling
  • Strong attention to detail to identify inconsistencies in documents/evidence
  • Excellent problem-solving capability and effective communication skills
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The Company
3,400 Employees
Year Founded: 1996

What We Do

Hastings Direct is a UK-based general insurance provider offering car, van, bike, and home insurance products. The company utilizes a digital-first, data-led approach to provide competitive insurance services to its customers.

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