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Fraud Claims Manager


Motor Claims

Main Purpose of The Job:

Inspect, analyse and identify any matter related to claim cases which have potential of becoming a fraudulent claim in accordance with the company’s compliance while managing the team work performance.

Key Accountabilities:

  • Conduct investigations into allegations of fraud, waste or abuse committed by any party against the company.
  • Reviewing and researching evidence/documents to analyse the overall fact pattern of claim and synthesize data into a professional report with recommendations.
  • Preparing and coordinating field assignments to obtain relevant evidence and information.
  • Coordinate and request for law enforcement resources for assistance in claims related matter should it deem necessary.
  • Investigate on cases of theft to entire vehicle, fire, severe bodily injury and death as instructed by management.
  • Provide guidance to branch claims officer on fraud claim management.
  • Motivate, inspire and coach team members to improve overall team.

Experience and Qualifications:

  • University or Vocational graduate.
  • Strong Interpersonal and communication skills with ability to interact with clients, upper management and law enforcement.
  • Ability to work under pressure independently.
  • Ingenuity and persistence to obtain case information from variety of sources.
  • Proficient with the insurance procedures, regulations and investigation methods.
  • Computer proficiency is preferable.
  • Honest and ethical with high levels of integrity and confidentiality.
  • Minimum of 7-10 years of experience in relevance to job responsibility.

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