DESKTOP FRAUD INVESTIGATOR (INSURANCE) ? DAILY RATE CONTRACT ?
DUBLIN 
Job Description:
?The Fraud Investigator (Desktop) is responsible for all aspects of
the investigation process to include creation of investigation plans,
identification and assignment of relevant enquiries and reporting on
findings. The investigator will provide assistance to the claims
adjuster in progressing the claim and will leverage knowledge and
expertise to ensure that the fraud risk is minimised.
ACCOUNTABILITIES FOR THE ROLE:
? As an Insurance Fraud Investigator you will be responsible for
investigating suspicious insurance claims or suspicious insurance
related activities covering all lines of business involving claimants,
brokers, lawyers, medical providers, etc, to support the Claims
organisation.
? Ability to manage all aspects of the claims investigation, to
include analysing facts on issues in question, thorough review of
interviews and statements of witnesses, employers, claimants and other
relevant witnesses.
? Obtaining and preserving physical and documentary evidence to
support investigations.
? Coordinating necessary investigative techniques and resources,
such as fieldwork through internal or external field resources,
cognitive interviews, etc. and ensuring quality is accurate, timely
and appropriate on all cases.
? Producing reports based on evidential findings, providing
adjusters with the information required to progress the claim as
appropriate.
? Handling caseload across relevant jurisdictions while ensuring all
tasks are completed properly.
? Testifying and presenting evidence at administrative and criminal
court proceedings as required.
? Establishing and maintaining professional working relationships
with insured?s, lawyers, corporate employees, vendors, police and
relevant fraud bodies.
? Completing targeted claims reviews for all lines of business as
assigned. This includes analysis, documentation of results and
suggestions for improvement.
? Accurately identify and record all financial impact for cases
worked in the case management system
? Assisting GIS and local management as appropriate in ensuring key
deliverables and business objectives are met.
? Awareness of, and adherence to, local laws regarding techniques
used for information gathering in countries where operating.
? Provide intelligence feedback to claims and underwriting
departments regarding loss trends and opportunities for future fraud
mitigation. JOB REQUIREMENTS:
Experience & Qualifications Required:
?Knowledge of criminal and civil justice systems
?Ability to manage workflow to create and pursue leads that would
support a fraud case
?Ability to work to tight timelines when necessary
?Demonstrable investigative-related experience essential, preferably
in an insurance claims dept
?Relevant Third Degree level preferred
?PC skills and experience with various database search systems
?Advanced knowledge of ?Theft and Fraud Offences Act? and
?Civil Courts & Liability Act? and their application in insurance
fraud
?Understanding of Data Protection Act and other compliance
legislation. Position: Desktop Fraud Investigator ? Contract
DESKTOP FRAUD INVESTIGATOR (INSURANCE) ? DAILY RATE CONTRACT ?
DUBLIN 
Job Description:
?The Fraud Investigator (Desktop) is responsible for all aspects of
the investigation process to include creation of investigation plans,
identification and assignment of relevant enquiries and reporting on
findings. The investigator will provide assistance to the claims
adjuster in progressing the claim and will leverage knowledge and
expertise to ensure that the fraud risk is minimised.
ACCOUNTABILITIES FOR THE ROLE:
? As an Insurance Fraud Investigator you will be responsible for
investigating suspicious insurance claims or suspicious insurance
related activities covering all lines of business involving claimants,
brokers, lawyers, medical providers, etc, to support the Claims
organisation.
? Ability to manage all aspects of the claims investigation, to
include analysing facts on issues in question, thorough review of
interviews and statements of witnesses, employers, claimants and other
relevant witnesses.
? Obtaining and preserving physical and documentary evidence to
support investigations.
? Coordinating necessary investigative techniques and resources,
such as fieldwork through internal or external field resources,
cognitive interviews, etc. and ensuring quality is accurate, timely
and appropriate on all cases.
? Producing reports based on evidential findings, providing
adjusters with the information required to progress the claim as
appropriate.
? Handling caseload across relevant jurisdictions while ensuring all
tasks are completed properly.
? Testifying and presenting evidence at administrative and criminal
court proceedings as required.
? Establishing and maintaining professional working relationships
with insured?s, lawyers, corporate employees, vendors, police and
relevant fraud bodies.
? Completing targeted claims reviews for all lines of business as
assigned. This includes analysis, documentation of results and
suggestions for improvement.
? Accurately identify and record all financial impact for cases
worked in the case management system
? Assisting GIS and local management as appropriate in ensuring key
deliverables and business objectives are met.
? Awareness of, and adherence to, local laws regarding techniques
used for information gathering in countries where operating.
? Provide intelligence feedback to claims and underwriting
departments regarding loss trends and opportunities for future fraud
mitigation. JOB REQUIREMENTS:
Experience & Qualifications Required:
?Knowledge of criminal and civil justice systems
?Ability to manage workflow to create and pursue leads that would
support a fraud case
?Ability to work to tight timelines when necessary
?Demonstrable investigative-related experience essential, preferably
in an insurance claims dept
?Relevant Third Degree level preferred
?PC skills and experience with various database search systems
?Advanced knowledge of ?Theft and Fraud Offences Act? and
?Civil Courts & Liability Act? and their application in insurance
fraud
?Understanding of Data Protection Act and other compliance
legislation.
We need : English (Good)
Type: Permanent
Payment:
Category: Others
