Fraud Claims Manager
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.
- 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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