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Technical Policy Investigator

19,362 P.A. ?
Location: Bidborough
Company: Markerstudy Limited
Contract type: Permanent
Hours: Full time
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Role Purpose:

The purpose of this role is to investigate policies with indemnity queries, misrepresentation and Fraud concerns within the agreed KPI and SLAs. Working as part of a diverse team of Investigators acting as a referral point for the Operational teams, Underwriters and the wider business.

Key Responsibilities:

  • Investigate policies referred by the claims teams, internal departments or from Brokers, IFB, MID Police or the general public
  • Review the output from internal systems on a daily basis for referrals for fraud, misrepresentation or Underwriting criteria for all brands of Business and conduct further investigation where necessary
  • Ensure all details of Investigations are recorded to assist with Complaints enquiries and Internal Audits
  • Provide assistance, feedback and mentoring to new or less experienced Investigators
  • Contribute to the development of internal Policy and Counter Fraud systems, by consistently providing feedback on your Investigations and functionality for continual improvement
  • Proactively alert any new Modus Operandi to our Intelligence team
  • Liaise with Technical Policy Support Assistants, Claims Handlers, Brokers and Policyholders to ensure an efficient conclusion to investigations
  • Adhere to the Technical Policy Best Practice Guidelines
  • Able to undertake other reasonable responsibilities and projects when required
  • Adhere to Company processes with regard to FCA, DPA and any other regulatory requirements.

Key Skills and Knowledge:

Skills and experience

  • Experience in the Motor Insurance Industry
  • Counter Fraud/Underwriting knowledge
  • Self- motivated and ability to work unsupervised
  • Excellent written and verbal communication skills
  • Keen eye for detail
  • Good organisational skills

Desirable Skills and experience

  • Experience in using Fraud specific software packages and tools
  • Motor Underwriting Knowledge
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