General Services

Insurance Fraud Investigator

  • Contract
  • Dublin City Centre, County Dublin, Ireland
  • 42043885

The Role

PE Global are recruiting for an Insurance Fraud Investigator for our US Multinational accommodation services client based in Dublin CC. Initial 7-month contract- remote role.

Job Responsibilities

  • Conduct investigations of suspicious claims and activities on the platform.
  • Managing cases, determining validity and resolutions based on internal policies.
  • Handling the designated inboxes through inbound and outbound tickets/emails, outbound calls and case work.
  • Contacting providers and users to obtain additional documentation and verify information.
  • Liaising with other departments to confirm fraudulent account activities. Working closely with stakeholders to align on case strategy.
  • Compiling incident reports at the direction of leadership.
  • Providing upward feedback, regarding the status of claims, communicating regularly with supervisors and managers.
  • Escalating identified fraud rings and risk issues as they arise.
  • Promoting awareness of fraud prevention across the Claims team and organization.

 

Education and Experience

  • Language proficiency in English and a second regional language is a plus.
  • Be an advocate of high-quality standards, innovation, resolution conflict and customer experience excellence.
  • 2-3 years of experience in assessing complex claims and dispute resolution, Insurance claims, conflict resolution, fraud or risk investigations, and/or crisis management.
  • 2+ years of experience in customer service.
  • Excellent interpersonal and communication skills, both written (email) and spoken (phone), to help our community in a tactful and diplomatic manner.
  • Excellent time management, negotiation, conflict resolution skills and confidence in making decisions.
  • Ability to work on your own initiative on multiple tasks.
  • Critical thinking and problem-solving skills.
  • High attention to details, detailed-oriented when working on complex cases
  • Passion for innovation with a ‘work smarter’, solution and action-oriented mindset.
  • Experience working with internal stakeholders and/or third-party providers to resolve complex disputes in a detailed, effective and timely manner.
  • Additional fraud insurance investigation or program management experience are a plus.
  • Experience handling complex insurance claims, especially in the field of first party property or liability claims
  • Understanding of ‘Third Party Administrators/Adjusters’ concepts is a plus
  • Experience with Partner or Vendor relationships

 

Interested candidates should submit an updated CV.

Please click the link below to apply, or alternatively send an up-to-date CV aisling.oleary@peglobal.net

***Please note our client cannot assist with any visa sponsorship and candidates must have the correct visa to live and work in Ireland****