Motor Claims Fraud Specialist Job Description

The investigation of suspected fraud cases involving motor insurance claims is the responsibility of a Motor Claims Fraud Specialist.

Primary Objectives:

• The Motor Claims Fraud Specialist screens motors claims against cases which have indicators of fraud together with other risk factors and identifies which cases require investigation.
• This kind of job requires supervision over a wide range of cases for investigation.
  The Motor Claims Fraud Specialist develops and improves the detection of fraud and the prevention measures implemented within the business.
• The Motor Claims Fraud Specialist needs to be able to know how to use traditional search tools as well as new methodologies as he or she works side by side other insurers and also third party specialists.

The Motor Claims Fraud Specialist works basically as a counter fraud specialist whose work specifically revolves around claims on motor insurance. The Motor Claims Fraud Specialist must have experience in handling injury claims. The Motor Claims Fraud Specialist must also have experience with operational investigations involving fraud in the field of motor claims at any level. The Counter Fraud Professional Accreditation Board offers accreditation in the field. The accreditation awards the Motor Claims Fraud Specialist a Counter Fraud Qualification which is a plus for the applicant.

The first duty of a Motor Claims Fraud Specialist is to gather information regarding activities that are suspected to be fraudulent, to identify irregularities and recommend appropriate actions. The Motor Claims Fraud Specialist deals with claims and to provide a service which is customer- focused so as to achieve settlements that are cost efficient. By using all the evidence, a Motor Claims Fraud Specialist makes decision with regard to the proper outcome for the liability claims. The Motor Claims Fraud Specialist must interview claimants and with the cognition of a specialist must separate a claimant’s honest answers from the inconsistent ones. The Motor Claims Fraud Specialist also validates keys and documents.

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