You are dedicated to fostering a culture of fraud prevention throughout the organization and raising awareness among the Aircover organization.
You are a highly motivated professional with a strong passion for combating fraud and protecting the interests of individuals and organizations. You are technically strong and your background encompasses a range of fraud prevention strategies, investigative methodologies, and industry best practices. You are adept at utilizing data analytics tools and techniques to uncover patterns, trends, and anomalies that signify fraudulent activities. You are a strong communicator and can effectively present findings, collaborate with cross-functional teams, while providing valuable insights to drive process improvements.
Responsibilities
- Conduct investigations of suspicious claims and activities on the platform.
- Managing cases, determining validity and resolutions based on internal policies.
- Handling the designated inboxes through inbound and outbound tickets/emails, outbound calls and case work.
- Contacting providers and users to obtain additional documentation and verify information.
- Liaising with other departments to confirm fraudulent account activities.
- Working closely with stakeholders to align on case strategy.
- Compiling incident reports at the direction of leadership.
- Providing upward feedback, regarding the status of claims, communicating regularly with supervisors and managers.
- Escalating identified fraud rings and risk issues as they arise.
- Promoting awareness of fraud prevention across the Claims team and organization.
Qualifications
- Language proficiency in English and a second regional language is a plus.
- 2-3 years of experience in assessing complex claims and dispute resolution, Insurance claims, conflict resolution, fraud or risk investigations, and/or crisis management.
- 2+ years of experience in customer service.
Required Skills
- Excellent interpersonal and communication skills, both written (email) and spoken (phone), to help our community in a tactful and diplomatic manner.
- Excellent time management, negotiation, conflict resolution skills and confidence in making decisions.
- Ability to work on your own initiative on multiple tasks.
- Critical thinking and problem solving skills.
- High attention to details, detailed-oriented when working on complex cases.
- Passion for innovation with a work smarter, solution and action oriented mindset.
- Experience working with internal stakeholders and/or third party providers to resolve complex disputes in a detailed, effective and timely manner.
Preferred Skills
- Additional fraud insurance investigation or program management experience are a plus.
- Experience handling complex insurance claims, especially in the field of first party property or liability claims.
- Understanding of Third Party Administrators/Adjusters concepts is a plus.
- Experience with Partner or Vendor relationships.
Need SPR & Citizens only
Drop your resume to [Confidential Information]
WhatsApp - +65 65075644
