Fraud & Claims Investigator

This is a very exciting opportunity to join a well established business with plenty of opportunities to build on your skills & your career! This business truly put the needs of their customers first, that’s why we need people who are naturally inquisitive and can ask the right questions. This varied role will be part of our clients Claims & Fraud team, responsible for handling phone calls & emails with Admin on the side! This role is fully remote so you must have a suitable working space due to sensitivity of calls you will be taking.

Your job is to assess claims efficiently and fairly to ensure that legitimate claims covered by the customers policy are processed with minimum delay. To ensure that in the event of a denial that all evidence is clearly recorded, and the customer understands the reasons for the denial.

The business are open 7 days a week between the hours 8am - 7pm Monday - Friday with rotational weekend working 9am-6pm, only 1.5 times a month!

Salary: £32,200 + Benefits

Fully Remote

Duties:

  • Ensure that customers are always treated fairly and in accordance with the core company values
  • Assess claims that have been escalated for adjudication, against agreed business rules and using a range of tools.
  • Record evidence and decision making, within the tools provided, which supports an adjudication decision.
  • Hold investigation conversations with customers to clarify information as necessary prior to approving or denying a claim.
  • Contact customers primarily by telephone, but also by email and letter, to communicate a denial and give clear reasons.

Experience:

  • You must have previous experience of working within Claims Investigation and Insurance
  • You must have experience investigating perpetrators of Fraud rather than victims
  • Experience in Financial Services Industry (Insurance) (Preferred)
  • Lots of experience speaking with customers regularly on the phone
  • Good investigation skills and excellent attention to detail
  • Strong Microsoft application skills (Excel, Word etc.)
  • Excellent Communication skills (verbal / written)
Back to blog

Other Jobs To Apply

No other job posts for this day.

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...