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Business Solution Fraud Claims Handler
Description Key Objectives
To manage and maintain own caseload within agreed authority limits and in accordance with published SLA’s.
To achieve this working within a team, lending support to other members wherever possible.
Duties:
• Behavioural and linguistics analysis, utilising conversation management and cognitive interviewing techniques.
• Claims Handling – ensuring the claims process follows the FSA guidelines, and the claim is consistent with the policy conditions/limits.
• Investigation of claims involving obtaining information from the policyholder against information obtained during the fraud screening process and that subsequently provided by engineers/inspectors.
• Compiling through reports for the client following investigations.
• Customer Service; often dealing with difficult policy holders in a confident and authoritive, yet professional and empathetic manner.
• Instructing suppliers matching the specifications of the claim and the client, and undertaking follow-up enquiries with the suppliers.
• Data Entry (imputing new claims, updating notes and figures etc)
• Calculation of cash settlements, applying depreciation deductions where appropriate.

Skill-set Requirements
• Microsoft Outlook intermediate level
• Microsoft Word Intermediate level
• Microsoft Excel Intermediate level

Soft Skill Requirements
• Insurance Background is an advantage
• Excellent Telephone Manner

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