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Triage Claims Fraud Investigator

Triage Claims Fraud Investigator

Posted 7 May by esure
Featured Ended

Job Description

We currently have a fantastic opportunity for a Triage Claims Fraud Investigator to join our Claims Fraud Operations department on a full time, permanent basis.

The successful candidate will be responsible for investigating and resolving a caseload of suspected fraudulent claims in order to achieve a speedy and cost-efficient conclusion, including the recovery of paid away claims.


  • Conduct desktop investigations into potentially suspect claims which are to be investigated by the Special Investigations Unit.
  • Assess level of concern regarding suspect claims and return or retain for investigation by the Special Investigations Unit.
  • First level complaint handling
  • Quality check review of developing and core colleagues
  • Interpret output from SIRA fraud detection system
  • Delivery of fraud training packages with support from experts
  • Review intelligence alerts escalated from Financial Crime Insight.
  • Review SAS/MI reports generated within the business of potential high-risk claims.
  • Interpret output from SIRA fraud detection system and other automated detection systems


  • Proven claims handling experience in a personal lines environment
  • Working knowledge of the internet and Insurance/Financial service databases
  • Working knowledge of legal aspect of asset recovery
  • Good communication, organisational and negotiation skills.
  • Self-motivated and able to work as part of team.
  • An intermediate level of computer literacy
  • Good understanding of GDPR
  • The ability to identify links and patterns emerging of claims involving specific companies/people
  • Good attention to detail, determination and information gathering.

Additional Information


  • 33 days annual leave (including bank holidays), rising with length of service
  • Festive Bonus
  • Up to 5% annual bonus, part of profit share scheme
  • Refer a friend scheme, up to £1,000
  • Employee discounts on esure products
  • Opportunities for career progression
  • Contributory Pension
  • Life Assurance
  • Long Service Awards
  • Employee Assistance Programme

Reference: 42650460

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