Claims Fraud Consultant

1 Days Old

Manchester - United Kingdom # Claims Fraud Consultant## Overview## Job descriptionPrima could be the place for you.Since 2015, we’ve been using our love of data and tech to rethink motor insurance and bring drivers a great experience at a great price. Our story began in Italy, where we’ve quickly become the number one online motor insurance provider. In fact, we’re trusted by over 5 million drivers. And now we’re expanding to help millions more drivers in the UK and Spain.To help fuel that growth, we need a **Claims Fraud Consultant** to join our **Claims UK team.**The role will support the UK Claims Manager and the UK Head of Claims and will influence our Claims Fraud strategy as we grow, with a view to minimising leakage and achieving operational excellence through highly skilled employees supported by market-leading technology.This role will also include serving as a subject-matter expert on credit hire as we build out our Global Claims Platform.What you'll do:- TPA Oversight & Relationship Management: Supervise and manage the Third Party Administrator, conduct case reviews and audits, identify leakage or process gaps, and maintain a strong, constructive working relationship- Technical Expertise & Complex Claims Support: Provide fraud expertise, supporting the UK Claims Manager with large or complex cases and presentations to reinsurers and internal stakeholders- Fraud Claims Handling & Team Development: Initially manage fraud claims directly, later supporting leadership as the team grows, and contribute to the design and delivery of technical training to strengthen fraud capability- Platform & System Development: Contribute to the development of the Global Claims Platform, shaping efficient processes and driving its evolution to become market-leading- Strategy, Governance & Compliance: Support the long-term fraud strategy, establish robust governance and performance frameworks, and ensure adherence to protocols and case strategies- Process Improvement & Escalation Management: Lead change initiatives to improve efficiency, digital adoption, and customer experience, while acting as the final escalation point for complex or high-value fraud cases.What we’re looking for:- Market Knowledge: Proven experience in managing Claims Fraud, aware of current market strategies- Expert Level Technical Knowledge: A high level of technical competency, which can be demonstrated in case handling and through case discussion- Knowledge of Fraud Tools: A high level of knowledge of market-leading Fraud tools such as SIRA- Data Analysis: Ability to utilise data to interpret performance trends and translate insights into actionable commercial strategies- Stakeholder Management: Highly effective communicator and influencer with strong influencing skills, capable of building credibility and managing relationships with both internal senior leaders and external partners.**Why you’ll love it here:**We want to make Prima a happy and empowering place to work. So if you decide to join us, you can expect plenty of perks.**Work Your Way:** Enjoy hybrid working, with a mix of home and office days. **Grow with us:** We may move fast at Prima, but we move together. Get access to learning resources, mentorship and a growth plan tailored to you. **Thrive and perform:** Your best work begins when you feel your best. Enjoy private healthcare, gym discounts, wellbeing programs and mental health support.**Apply now**.At Prima, we celebrate uniqueness. If you don’t meet every requirement but are passionate about this role, we still want to hear from you. Innovation thrives on diverse perspectives.Location: Manchester - United KingdomDepartment: ClaimsJob function: Claims UKEmployment: Permanent Employment #J-18808-Ljbffr
Location:
Manchester
Job Type:
FullTime

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