Responsibilities:
Develop and implement a fraud prevention, detection and investigation framework addressing both opportunistic and organized insurance fraud
Maintain operational fraud risk strategies and management practices in company core business products
Ensuring all contacts and interactions are of the highest standard (written/phone/face-to-face), to create peace of mind for the customer.
Timely processing of claims
Compliance with all internal policies and procedures and external requirements
Excellent communication with Customers and staff
Developed high level analytical ability
Requirements:
Excellent written and verbal communication skills
Minimum 2-3 years investigations practice and procedures experience
Demonstrate customer service focus
Results Orientation
Must display a high level of integrity and confidentiality at all times
Concern for Excellence
Must encouraging initiative / continuous improvement
Understanding of policy, legal and compliance obligations
Dispute resolution experience, knowledge of insurance law, insurance experience.
Good decision maker, even under pressure