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Job Details

Contact Info

Contact Person: Tony Martin Email: tmartin@massenhove.co.uk Telephone: 01621 786 220
Job Title: Lead Fraud Analyst


Job Description

Lead Fraud Analyst
 
Job Purpose:        
The formation, leadership and management of the Analysis & Research team to ensure that CFS provides a valued, effective and efficient range of counter fraud services to the business, and that fraud management is successfully embedded within the business.
 
Job Responsibilities:
Support the Director of Fraud in the formation, delivery and management of counter fraud services to the business, to include as necessary deputising for the Director.
Design, implement and manage a process for fraud risks identified by SIRA and other fraud prevention systems used by CFS, to include caseload allocation, research, investigation, conclusion and referral/reporting to business areas and the Investigations & Intelligence team within CFS, adhering to SLA’s.
Prioritise matches for further action and investigation by the Company MLRO as applicable.
Ensure timely and accurate loadings are made to SIRA, CIFAS and the Insurance Fraud Register, and ensure supporting records are in place that are compliant with the use of such systems.
Monitor and analyse the performance of Company fraud prevention systems (including SIRA), to include automated rules and scorecards, periodically recommending changes to rules and scorecards as applicable.
Using Company data and information ensure regular detailed analysis is undertaken to identify patterns and indicators of fraudulent activity, and timely reports produced for the Director of Fraud and business areas as applicable.
Complete ad-hoc data and information analysis at the request of the Director of Fraud.
Work closely with the Company MI team to ensure new and emerging fraud risks are promptly identified and reported on.
Own the CFS fraud MI/dashboards, to include regular production of same.
Assist with the testing of new fraud prevention systems and software.
Provide advice and support to business areas and CFS with regard to potential fraud risks.
Produce high quality written reports and advice for the business, to include recommendations.
Submit Suspicious Activity Reports as necessary to the Company MLRO.
 
Job Specific Competencies:
 
Experience
Interrogation and analysis of significant and complex data sets, to identify trends, patterns and indicators of fraudulent/ irregular activity.
Use of fraud prevention systems (e.g. SIRA, CIFAS).
Analysing and monitoring the performance of automated fraud prevention systems.
Production of high quality data analysis reports.
Strong motor claims and policy experience.
Managing/leading a fraud team.
 
Skills
Strong analytical and problem solving skills, with the ability to adopt a logical approach to resolving problems.
Analysing data and information.
Excellent report production skills.
Coaching and training staff.
 
Knowledge
How data and information analysis is used in the identification of fraudulent activity.
Rules based fraud prevention systems.
Data analytics.
Excellent knowledge of processes and tactics used to investigate and manage insurance fraud, and a solid understanding of relevant fraud related legislation.
Excellent knowledge of FSA requirements (including TCF) and the regulatory framework relating to general insurance.
Sound understanding of all aspects of motor insurance.
 
Behaviours
Passionate about reducing the business exposure to fraud risk.
Confident in presenting complex information in a clear and concise manner.
Strives to deliver performance targets and drive business improvements to contribute to the success of the business.

Details

Job Ref: MASS 1029 Hours: Full Time Location: Sussex Working Term: Permanent Position Salary: £29,000

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