Special Skills:

An understanding of fraud, fraud prevention, investigation and fraud processes Experience in managing people, in particular managing investigators and investigations.
An understanding of insurance claims, in particular technical claims, PI, AD and TP claims.
An understanding of payment systems would also be useful.
An ability to negotiate and influence at a senior level A sound understanding of the Data Protection Act and its implications in respect of fraud investigations.
Knowledge of the law relating to fraud, police work, data-sharing.
Experience of and using investigation tools and products.
A fraud qualification and/or working towards obtaining one would be of benefit.

General Qualifications:

Good standard of secondary education.
Able to make decisions using commercial judgment.

Key Result Areas:

The primary tasks of the role are:

Establish a 'best of breed' fraud investigation function, leading it and developing the team members; ensuring that fraud is attacked but that the unit remains aligned to the business and supports the company 'customer focus' strategy.
Work with the PI/AD/TP technical teams to aid their referral/investigation processes.

Produce a "best practice" in relation to fraud identification and management.
Devise a fraud measurement system, and MI reporting function to supply senior management /directors with reporting upon the successes of the unit; and benchmarking against the industry.
Train and develop the fraud investigations team, the claims and business managers; encouraging corrective activities, appropriate referral and an investigation and 'fraud prevention' ethos.
Take ownership of all fraud issues, and act as a first line of referral for fraud and potentially fraudulent claims and other fraudulent attacks across the business.
Manage liaison with industry fraud functions, including IDSL, IFB, and ABIAFC; and with appropriate authorities where necessary including the police, prosecution authorities and other government and non-government bodies.
Manage the use of any external suppliers of fraud solutions and services.
Analyse and interpret management information.
Produce appropriate reports to SICL Directors on a monthly basis to demonstrate the performance of the team. Work with, manage and assist in the development of a data-screening and data matching solution for the business; along with any other fraud initiatives that are developed and/or introduced. Accurately review, negotiate and settle claims up to £25,000 across all areas of the Claims Operation without referral where fraud has been identified.
Ensure that Investigation Officers act within the strict guidelines of the FSA, Data Protection Act and ABI guidelines, and any other relevant regulatory body.
Ensure strategic and operational KPI's are achieved and exceeded.
To action appraisal points from quarterly reviews and achieve personal objectives and targets.
To be compliant with the standards laid out by various regulatory bodies e.g. FSA or FSC.

Skills and Competencies:

Relevant experience in Fraud claims handling.
Experience in relation to all aspects of Motor Claims handling (including personal injury).
Proven track record in relation to managing people and change.
An understanding of fraud, anti-fraud methods, processes and investigation tools.
Adaptable and flexible in meeting the needs of the business in a fast and changing business.
Motivated, target driven and results orientated.