A leading tech client is looking for a Fraud Investigator to join their team on a contract basis.
In this role you'll get to
- Conduct investigations of suspicious claims and activities on the platform.
- Managing cases, determining validity and resolutions based on internal policies.
- Handling the designated inboxes through inbound and outbound tickets/emails, outbound calls and case work.
- Contacting providers and users to obtain additional documentation and verify information.
- Liaising with other departments to confirm fraudulent account activities. Working closely with stakeholders to align on case strategy.
- Compiling incident reports at the direction of leadership.
- Providing upward feedback, regarding the status of claims, communicating regularly with supervisors and managers.
- Escalating identified fraud rings and risk issues as they arise.
- Promoting awareness of fraud prevention across the Claims team and organization.
Skills:
- Language proficiency in English and a second regional language is a plus.
- Be an advocate of high quality standards, innovation, resolution conflict and customer experience excellence.
- 2-3 years of experience in assessing complex claims and dispute resolution, Insurance claims) conflict resolution, fraud or risk investigations, and/or crisis management.
- 2+ years of experience in customer service.
- Excellent interpersonal and communication skills, both written (email) and spoken (phone), to help our community in a tactful and diplomatic manner.
- Excellent time management, negotiation, conflict resolution skills and confidence in making decisions.
- Ability to work on your own initiative on multiple tasks.
- Critical thinking and problem solving skills.
- High attention to details, detailed-oriented when working on complex cases
- Passion for innovation with a 'work smarter', solution and action oriented mindset.
- Experience working with internal stakeholders and/or third party providers to resolve complex disputes in a detailed, effective and timely manner.
Preferred experience
- Additional fraud insurance investigation or program management experience are a plus.
- Experience handling complex insurance claims, especially in the field of first party property or liability claims
- Understanding of 'Third Party Administrators/Adjusters' concepts is a plus
- Experience with Partner or Vendor relationships
Morgan McKinley is acting as an Employment Agency and references to pay rates are indicative.
BY APPLYING FOR THIS ROLE YOU ARE AGREEING TO OUR TERMS OF SERVICE WHICH TOGETHER WITH OUR PRIVACY STATEMENT GOVERN YOUR USE OF MORGAN MCKINLEY SERVICES.
