Full-Time

Commercial Desk Investigator

Confirmed live in the last 24 hours

Sedgwick Claims Management Services

Sedgwick Claims Management Services

10,001+ employees

Claims management and risk solutions provider

Consulting
Financial Services

Entry, Junior, Mid

United Kingdom

Flexible working arrangement between office and home.

Category
Legal Consulting
Consulting
Required Skills
Word/Pages/Docs
Customer Service
Data Analysis
Excel/Numbers/Sheets
Requirements
  • Investigate a portfolio of Commercial claims that have been identified as potentially fraudulent.
  • Promote the Commercial Investigations Team & raise awareness of our team amongst our Commercial adjusting colleagues and clients.
  • Conduct recorded telephone and video interviews to capture evidence.
  • Plan interviews and investigations
  • Obtain and complete correctly formatted statements
  • Manage your own caseload and carry out necessary investigations whilst gathering evidence
  • Maintain contact with our policyholders, making sure you record accurate information and secure evidence.
  • Enquiries with third parties including brokers, contractors & suppliers to help validate claims and undertake enquiries with the police and external agencies as appropriate.
  • An essential part of this role will be to keep abreast of current legislation and codes of practice as they relate to insurance investigations
  • Complete settlement enquiries through negotiation and the use of the Insurer supply chain network when necessary.
  • Directly challenge Policyholders concerning fraudulent activity when necessary
  • Prepare reports for Insurers and articulate relevant concerns with firm recommendations
  • Issue repudiation & fraud outcome letters to customers
  • Keep to tight SLA requirements and deliver excellent customer service
  • Record all chargeable and non-chargeable time accurately
  • Deal with complaints and seek to resolve within the FCA guidelines
  • Identify, manage and evidence fraudulent activity through the use of data, technology and a strong investigative mindset.
  • Report and evidence fraudulent activity to the IFB, IFIG & IFED.
  • Achieve objectives as agreed with your line manager during Progressive Performance meetings together with operational targets
  • Principles of Insurance: Use a thorough knowledge for practicable application to commercial and property claims including business interruption.
  • Have knowledge and a background in Commercial, Property and Business Interruption claims:
  • Be able to apply a thorough knowledge of current case law, statute, and other legal liabilities
  • Understands the principle of indemnity and its application
  • Has knowledge of building construction relevant to job role
  • Ability to identify evidence and secure, preserve and record it
  • IT literacy with knowledge of MS word & Excel
  • Understands the FCA and how it relates to their role within the business
  • An understanding of complaints handling and its application
  • Understand the purpose and procedures of GDPR and its application
  • Great interpersonal and communication skills exhibiting understanding and empathy when required
  • Inquisitive nature
  • Strong communication skills both verbal and written
  • A strong attention to detail
  • Use negotiation skills to achieve appropriate results
  • Ability to plan and prioritise workload
  • Able to build good relationships with clients and colleagues
  • Conscientious, hardworking individual with the drive to achieve personal and team targets.
  • Flexible and adaptable person willing to assist others in times of surge.
  • A strong team player.
Responsibilities
  • Investigate a portfolio of Commercial claims that have been identified as potentially fraudulent.
  • Promote the Commercial Investigations Team & raise awareness of our team amongst our Commercial adjusting colleagues and clients.
  • Conduct recorded telephone and video interviews to capture evidence.
  • Plan interviews and investigations
  • Obtain and complete correctly formatted statements
  • Manage your own caseload and carry out necessary investigations whilst gathering evidence
  • Maintain contact with our policyholders, making sure you record accurate information and secure evidence.
  • Enquiries with third parties including brokers, contractors & suppliers to help validate claims and undertake enquiries with the police and external agencies as appropriate.
  • An essential part of this role will be to keep abreast of current legislation and codes of practice as they relate to insurance investigations
  • Complete settlement enquiries through negotiation and the use of the Insurer supply chain network when necessary.
  • Directly challenge Policyholders concerning fraudulent activity when necessary
  • Prepare reports for Insurers and articulate relevant concerns with firm recommendations
  • Issue repudiation & fraud outcome letters to customers
  • Keep to tight SLA requirements and deliver excellent customer service
  • Record all chargeable and non-chargeable time accurately
  • Deal with complaints and seek to resolve within the FCA guidelines
  • Identify, manage and evidence fraudulent activity through the use of data, technology and a strong investigative mindset.
  • Report and evidence fraudulent activity to the IFB, IFIG & IFED.
  • Achieve objectives as agreed with your line manager during Progressive Performance meetings together with operational targets
Sedgwick Claims Management Services

Sedgwick Claims Management Services

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Sedgwick focuses on claims management and risk solutions for the insurance and corporate sectors, helping clients efficiently handle various claims like property damage and employee injuries. Their services include clinical case management and specialized offerings such as home inspections and property appraisals, which aid in accurate claims processing. Sedgwick stands out from competitors with its strong commitment to diversity, equity, and inclusion, which enhances its service delivery. The company's goal is to improve claims outcomes while caring for people and fostering an inclusive environment.

Company Stage

Growth Equity (Non-Venture Capital)

Total Funding

$488.1M

Headquarters

Memphis, Tennessee

Founded

1969

Simplify Jobs

Simplify's Take

What believers are saying

  • Sedgwick secured a $1 billion investment from Altas Partners, boosting its valuation.
  • The AI-powered care guidance application improves claims outcomes and efficiency.
  • Expansion in marine operations positions Sedgwick as a leader in this sector.

What critics are saying

  • Increased litigation risks due to Florida's HB 837 tort reform surge.
  • Potential reputational damage from lawsuits, such as breach of settlement agreement cases.

What makes Sedgwick Claims Management Services unique

  • Sedgwick offers AI-powered care guidance for enhanced claims management.
  • The company has expanded global marine operations to meet sector needs.
  • Sedgwick's Consumer Product Safety Pulse Report provides unique insights on recall behavior.

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