Claims Fraud Analyst

Primary Details

Time Type: Full time Worker Type: Employee The purpose of this role is to analyse and research all detected fraud claims and to issue intelligence reports on behalf of all QBE lines of business.

The opportunity 

A great opportunity to join QBE’s award-winning fraud team. As a Fraud Analyst you will be part of a small team of Analysts who receive, review and re-distribute intelligence received by multiple sources as well as develop internal findings. You will work closely with the adjusters to identify fraud threats and provide advice on suspicious claims to eliminate fraud risk from the business.

Your new role

• Produce high quality written reports and advice for the business, to include recommendations
• Using Company data and information ensure regular detailed analysis is undertaken to identify patterns and indicators of fraudulent activity, and timely reports produced for the Senior Fraud Analysts and SIU Leadership team and business areas as applicable.
• Manage and process the outputs of our automated fraud prevention systems used by the SIU, to include research, referral/reporting to business areas as well as the SIU team
• Monitor and analyse the performance of Company fraud prevention systems, to include automated rules and scorecards, periodically recommending changes to rules and scorecards as applicable.
• Ensure timely and accurate loadings are made to fraud prevention systems, and ensure supporting records are in place, that are, compliant with the use of such systems.
• Provide advice and support to business areas and SIU with regards to potential fraud risks.
• Submit Suspicious Activity Reports as necessary to the Company MLRO
• Assist with the testing of new automated fraud prevention strategies before implementation into the business.
• Support the SIU Assistant Claims Manager in the formation, delivery and management of counter fraud services to the business.

About you 

• Investigative experience in a similar role
• Understanding of current and emerging fraud threats
• Experience using an automated fraud prevention tool
• Production of high quality data analysis reports
• Experience of interrogation and analysis of significant and complex data sets, to identify trends, patterns and indicators of fraudulent/ irregular activity
• Experience in working in a shared service/operations team and meeting/managing differing expectations of key stakeholders from different business areas
• Motor & Casualty claims fraud experience
• A good understanding of fraud prevention and relevant fraud related legislation and case law
• Knowledge of the FCA requirements and the regulatory framework relating to general insurance

Why QBE? At My Best? 

?At QBE, we want our people to feel rewarded and inspired to perform at their best, that’s why we have created “At My Best”.It’s our connection, our way of showing we have your back. We understand that one size doesn’t fit all and that priorities can change depending on your life stage. That is why our blend of wellbeing initiatives and benefits offer flexibility to suit what matters most to you. It’s in the culture of our business, our QBE DNA, to support our people. Everything we do is underpinned by our QBE DNA.?? 

We’re an international insurer that’s building momentum towards realising our vision of becoming the most consistent and innovative risk partner. We can never really predict what’s around the corner, but at QBE we’re asking the right questions to enable a more resilient future – helping those around us build strength and embrace change to their advantage.?? 

QBE aims to build a workplace that is fair and inclusive because we want to attract and retain the best people to do the job, we have adopted flexible working across the company and welcome this conversation (https://careers/flex-qbe/).? 

With more than more than 13,000 people working across 27 countries, we’re big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind.?? 

To find out more about why you should work for QBE, visit ourcareers website. 

At My Best - QBE Benefits  

You are more than your work – and QBE is more than a workplace, which is why we provide you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally.  As well as the benefits below, we also offer an extensive choice of other options to suit you!  

30 days holiday a year with the option to buy up to 2 additional days. 

Flexible working - balancing work and life is important so our flexible working opportunities are open to all, this can include part-time, job share and compressed hours. 

Pension – you are automatically enrolled into the QBE pension plan, which entitles you to receive employer contributions of 10% of your basic salary. 

Private medical insurance – we fund fully comprehensive private medical cover for you and all the family.  

Family friendly policies – we offer 26 weeks leave at full pay regardless of gender identity, sexual orientation or how you become a parent. 

Short term remote work abroad - you can request up to 20 days per year to work remotely from certain locations abroad. 

Sustainable investing - we believe sustainable integration is important for long term financial, environmental, and social outcomes. Our pension strategy supports our net-zero goal to achieve year-on-year reductions in c

QBE Management Services (UK) Limited

Chelmsford