Motor Claims Crime Prevention Consultant - Linked & Organised Fraud

Responsibility for the decision making in respect of the retention of referrals from internal and external sources to the Motor Claims Crime Prevention Teams, returning genuine claims urgently with constructive feedback.

To compile intelligence searches and more advanced ad hoc searchers as required to aide decision whether to retain or return claim

To engage with other departments support relationships and provide technical support

Ability to carry out appropriate Intel searches to ascertain is the claim is genuine or potentially fraudulent. This involves working across all systems and databases and evaluation of this data.

To have a good understanding of the different types of fraud scenarios and determining appropriate investigations to resolve suspicions of fraudulent activity

To effectively manage own within individual authority or on referral where applicable, implementing a wide range of relevant investigative techniques including instruction of suppliers to maximise the identification and repudiation of fraud while minimising any adverse impact upon customer experience, financial spend and company reputation.

Where a claim is deemed potentially fraudulent to capture and highlight relevant concerns and record this information accurately.

To update and maintain the case management system database and any other fraud software applications as directed

To identify and manage potential linked and organised cases, as well as claims farming (KYO) with referral to senior where appropriate

To identify and highlight specific fraud trends or companies to senior level

To be responsible for complying with all internal, regulatory and statutory standards and controls, so that the requirements of the Group and regulatory bodies are met.

Liaise with law enforcement and industry bodies.

Negotiate effectively with Policyholders & Third Parties to conclude settlement if appropriate

To manage litigation and ensure cases are progressed in a effective, timely and cost effective manner with referral to mentor or senior

To manage all complaints and to be responsible for maintaining contact with our customer through the complaint procedure, including keeping the complaints database up to date

To manage their own self development and contribute to their 1-2-1's, team discussions, and continuous improvement programmes

To provide constructive feedback on supplier performance and raise and issues as appropriate

Ability to come up with practical solutions to problems and suggest new ways of working

Ability to interpret I2 charts

Ability to prepare witness statements and attend court as required

About you

Level 2 Role Accountabilities

To demonstrate a positive and proactive approach to the customer at all times during investigation keeping in line with TCF guidelines

To understand and adherence to the Data Protection Act

To be aware of and be able to demonstrate an understanding of claims and underwriting processes used across LV= Operations

To have a good understanding of principles of insurance, money laundering and POCA

To have a good understanding of personal injury claims, the MOJ process and required actions

To have a detailed understanding of investigation principles

To have a good knowledge of basic credit hire principles and fee structure

To demonstrate good communication skills both over the telephone and face to face, at all levels

To have a good understanding of insurance case law relating to fraud

Good knowledge of Paid Away and SARS

The ability to liaise with suppliers and law enforcement agencies confidently and proactively; and within agreed cost ratios

Ability to identify potential leakage on a case by case basis and provide suggested recovery including taking action to recover losses

Knowledge of basic Linked and Organised fraud and investigation techniques

Knowledge of basic credit hire principles and fee structure

To have a detailed understanding of investigation principles

To have a good understanding of insurance case law relating to fraud

We are not your average insurance company; in fact, we strive to be different. You will not find strict dress codes, jargon-filled documents, or unrealistic targets here. What you will find is a welcoming culture, a clear vision and teams of passionate people doing their best for our customers.

LV= GI is a large, multi-award-winning general insurance company, with nearly 7 million customers and aspirations for future growth. Having recently become part of the Allianz family, we're proud to be one of the largest personal insurers in the UK.

Recognised and rewarded for a job well done, we have a range of flexible benefits for you to choose from- so you can pick a package that's perfect for you. We also offer flexible working options, global career opportunities across the wider LV=GI Group, and fantastic career development and training. That's on top of enjoying all the benefits you'd expect from the world's number one insurance brand, including:

24 days' holiday

A competitive pension for which LV= will pay twice the amount you pay, up to 14%

An annual bonus scheme based on company and personal performance

A flexible benefits package (e.g. discounted retail vouchers, great value dental insurance)

ElectriX EV salary sacrifice scheme

A generous 25% discount off our general insurance products including home, pet and travel as well as up to 50% discount on your car insurance.

Our Ways of Working

Do you need some flexibility with the hours you work? Let us know as part of your application and if it's right for our customers, our business and for you, then we'll do everything we can to make it happen.

We are signatories of the ABIs flexible working charter. We believe in supporting hybrid work patterns, which balance the needs of our customers, with your personal circumstances and our business requirements. Our aim with this is to help innovation, creativity, and you to thrive - Your work life balance is important to us.

Our Purpose and Values

We secure your future

Be Brave | With Heart | Everyone Counts | Inspiring Trust

Our purpose and values are more than just words on a website - they are the why and how of LV= GI. They influence everything we do and guide us how to do it. Created by our people, for our people, they shape our culture, bring us together, and inspire us to be the best. Building an inclusive culture for us all to succeed.

Diversity & Inclusion

At LV= GI, we value diversity and inclusion and back this up with our accreditations. LV=GI is EDGE certified for gender inclusion, members of the Women in Finance Charter, members of the Stonewall Diversity Champion programme, signatories of Business in the Community's Race at Work Charter, and an Armed Forces Covenant gold standard employer.

We have a range of employee networks focusing on gender inclusion, cultural diversity, LGBTQIA+, disability and long term health conditions (including neurodiversity), intergenerational and life stages, parents and carers, mental wellbeing, menopause support and armed forces and veterans, all supporting you to bring your best and authentic self to work.