The maintenance of the strategy in countering fraud by the operation of the existing procedures is dependent upon the leadership of the Counter Fraud Specialist Team Leader.
Primary Objectives:
- The Counter Fraud Specialist Team Leader works with customer data to protect date against threats of insurance fraud.
- The Counter Fraud Specialist Team Leader is responsible for managing how the data output gathered everyday from different counter- fraud schemes is processed and ensuring that the service levels expected are achieved.
- The Counter Fraud Specialist Team Leader must monitor customer data against data- sharing schemes.
The Counter Fraud Specialist Team Leader must possess strong analytical skills as he or she offers technical support to counter- fraud teams. The Counter Fraud Specialist Team Leader must have outstanding working knowledge of the regular computer systems such as the Microsoft Office package and of tools preferred in countering fraud such as Claims Underwriting Exchange and CIFAS.
The Counter Fraud Specialist Team Leader contributes in checking and reporting how the business is performing in terms of the counter- fraud measures implemented and how much financial savings is achieved through such measures. The Counter Fraud Specialist Team Leader must maintain discussion of cases with those suspected of committing fraud so that he or she may evaluate the accuracy of their statements. The Counter Fraud Specialist Team Leader must also respond to inquiries submitted through e-mail and telephone from other external and internal customers, and must guarantee that proper information is passed efficiently. He is also responsible in responding to information requests coming from a range of sources such as the police and the local authority. Another duty of a Counter Fraud Specialist Team Leader is to coordinate with the counter- fraud intelligence analyst in screening customer data in countering intelligence alerts. The Counter Fraud Specialist Team Leader must be able to assist the training department in delivering to the whole staff a program for fraud awareness and in developing a fitting material to be shared using accessible media.