1w ago
Claims Fraud Consultant
Claims Fraud Consultant
Requirements
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.
Original Advert
Are you looking for a new challenge?
Fancy helping us shape the future of motor insurance?
Prima 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.
Excited to make an impact? Here are the details
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.
Think you're a match? .
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.
Prima is proud to be an equal opportunity employer. Need accommodations during the process? Email us at accessible.recruiting@prima.it. Let's build the future of insurance, together.
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