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Claims Fraud Handler

ZegoLondon, England, United Kingdom
On-site Full-time

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Experience Level

Experience

Qualifications

To excel in this role, you should possess a solid foundation in handling organized fraud cases, personal injury claims, and credit hire claims. Your expertise should demonstrate a successful track record in countering fraudulent activities while maintaining a keen awareness of the customer experience.

About the job

About Zego

Zego is revolutionizing the motor insurance industry by empowering responsible drivers. Since our inception in 2016, we have made it our mission to simplify and lower the cost of insurance for good drivers. Our diverse clientele ranges from van drivers and gig workers to everyday motorists, all of whom are at the core of our operations. With tens of millions of policies sold and over $200 million raised in funding, our accolades include the prestigious Insurance Claims Team Of The Year 2024 from The Insurance Post's Claims & Fraud Awards. And we’re just getting started.

Your Role

We are seeking a dynamic and detail-oriented Fraud Claims Handler to enhance our Counter-Fraud team. In this pivotal position, you will analyze intricate claims networks, tackling organized fraud rings and professional enablers. Your aim will be to thwart fraudulent activities that threaten our financial stability, ensuring that Zego remains a deterrent to fraudsters while safeguarding our legitimate customers.

Utilizing cutting-edge technologies, industry-standard tools, and reliable data sources, you will make informed decisions that protect both our clients and the company.

Key Responsibilities

Management of Organized Fraud & Complex Cases

  • Oversee a portfolio of complex organized fraud motor claims, particularly focusing on multi-vehicle incidents, staged accidents, and 'slam-on' claims.
  • Conduct thorough investigations into Personal Injury claims, scrutinizing causation and identifying any fictitious occupants or pre-existing conditions.
  • Challenge Credit Hire claims effectively, assessing necessity, duration, and rates, with a focus on organized fraud networks.
  • Formulate and implement strategies for cases involving professional enablers.
  • Map connections between claims to identify cross-claims fraud syndicates.
  • Promote commercial sustainability by identifying and mitigating high-value indemnity losses from organized fraud, ensuring cost savings contribute directly to Zego's competitive pricing.

Qualifications for Success

Fraud & Technical Expertise

  • A proven background in managing organized fraud, injury, and credit hire claims, with a history of dismantling fraud networks.
  • Strong commercial insight, balancing thorough fraud investigations with customer experience considerations.
  • Understanding the importance of effective fraud detection in protecting both the firm and its clientele.

About Zego

At Zego, we are committed to transforming the landscape of motor insurance by advocating for responsible drivers. Our innovative approach and customer-centric philosophy have positioned us as a leader in the industry, continuously striving for excellence and recognition.

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