OverviewThe successful candidate will be responsible for assessing claims for three lines (APD, Property and Accident Advantages) to identify potential fraud indicators, questionable loss scenarios, and cases requiring further SIU investigation. This includes triaging claims efficiently, gathering and analyzing initial loss information, and making informed recommendations for identified red flags to assist investigators on what to action.What can you expect- Review, analyze, accept/reject, and triage all SIU referrals submitted.- Provide direction to adjusters regarding potential or rejected SIU referrals- Assign and log all of the SIU referrals appropriately and within the required timelines.- Monitors and responds to all SIU email requests sent to the Triage team.- Assist with the development of SIU training modules and presentations when required.- Actively collaborate with members of the Triage team, SIU Investigators, Claims Line of Business, Advanced Analytics to develop best practices, establish guidelines,



policies around fraud detection and claim scenarios.- Work closely with the Advanced Analytics team to create improvements to develop better claim referrals from the Fraud Analytics tool.- Assist SIU Team Lead and SIU Management on all ad hoc requests and reports.- Other duties as assigned by management or as needed.What do you bring- A university degree from an accredited university or a diploma from an accredited community college.- A minimum of 3 years’ experience handling claims or working in an organization that investigates incidents involving fraud and/or other related activities. Completion, working towards or a willingness to obtain their CIP designation.- The ability to work with a suite of Microsoft products (ie. excel).- A working knowledge of business or fraud analytics software or fraud detection programs is an asset.- Preference will be given to individuals with multi-line claims experience.Salary Range :56,700 – 94,400 $#J-18808-Ljbffr

📌 Triage Analyst, Siu - $56,700 - $94,400 A Year (London)
🏢 Definity
📍 London