Counter Fraud Lead (Pet Claims)

As a Counter Fraud Lead for Admiral in the Pet Insurance industry, you will develop and lead our activity in order to identify and mitigate fraudulent activities and ensure that Admiral are a leader in this field. Your role is crucial in safeguarding the company's assets and ensuring the integrity of the claims process and ensuring alignment across the wider Admiral business. You will develop and implement fraud prevention strategies, oversee investigations, collaborate with various departments to mitigate fraud risks and actively engage internal and external senior stakeholders as required.

We are seeking a skilled and dedicated individual with strong subject matter knowledge and leadership abilities to develop our capability in this field and build a team of fraud investigators and analysts. The ideal candidate will possess excellent analytical and problem-solving skills, with proficiency in fraud detection software and data analysis tools and understand the Pet Insurance and/or veterinary industries.

Strong communication and interpersonal skills are essential for effective collaboration with various departments and external stakeholders. Meticulous attention to detail, a thorough understanding of industry regulations, and high ethical standards are crucial for maintaining the integrity of the claims process. We value a proactive approach to identifying and mitigating fraud risks, resilience under pressure, and a collaborative mindset. Additionally, you should demonstrate innovative thinking, adaptability to changing industry trends, and a genuine passion for pet insurance and animal welfare.

Main Duties

• Fraud Prevention: Develop and implement comprehensive fraud prevention strategies and policies tailored to the pet insurance industry.
• Investigations: Oversee and conduct thorough investigations into suspected fraudulent claims, ensuring timely and accurate resolution.
• Data Analysis: Utilize data analytics and fraud detection software to identify patterns and trends indicative of fraudulent activities.
• Collaboration: Work closely with the claims department, underwriting, and legal teams to address fraud-related issues and implement preventive measures.
• Reporting: Prepare detailed reports on fraud cases, trends, and the effectiveness of fraud prevention strategies for senior management.
• Compliance: Ensure all fraud prevention activities comply with industry regulations and company policies.
• Stakeholder Engagement: Liaise with external stakeholders, including law enforcement agencies, industry bodies, and other insurers, to share intelligence and best practices. Engage with senior internal stakeholders on activities.
• Team Leadership: This function is projected to grow within Admiral and future requirements include the appetite and ability to manage and mentor a team of fraud investigators and analysts, providing guidance, training, and performance evaluations.

Key Skills, Qualifications and Experience

• Strong communication and team management skills.
• Excellent analytical and problem-solving abilities.
• Proficiency in fraud detection software and data analysis tools.
• Strong communication and interpersonal skills.
• Ability to work under pressure and handle complex cases.
• Knowledge of Pet Insurance/Veterinary industry regulations and compliance requirements.

Please note - we may close this vacancy early if we receive lots of applications or business priorities change.

Our Commitment to You

At Admiral, we are committed to being a diverse and inclusive workplace. Admiral is proud to be an equal opportunities employer and does not discriminate on the basis of race, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), national origin, gender, gender identity, sexual orientation, disability, age, or any other legally protected status.

All qualified applicants will receive equal consideration for employment.

Benefits, and Work-Life Balance

At Admiral, we are proud to be a diverse business where we put our people and customers first. We have great benefits to ensure employees have a great work-life balance; it's one of the reasons we’re consistently voted one of the Sunday Times Best Big Companies to work for in the UK. We want you to have an element of freedom to define a working lifestyle that supports this, so accommodate flexible hours wherever possible.

All colleagues will receive 33 days holiday (including banks holidays) when they join us, and this will increase with length of service, up to a maximum of 38 days (including banks holidays). You also have the option to buy or sell up to five days of annual leave in addition to your allocation.

You can also view some of our other key benefits here.

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