Experience

TOPMARK CLAIMS MANAGEMENT LIMITED

• United Kingdom
• Financial Services
• 1 - 100 Employee

• Senior Claims Investigator

  • May 2018 - Present



Cunningham Lindsey

• United States
• Insurance
• 700 & Above Employee

• Private Clients Services Adjuster

  • Mar 2018 - May 2018



Open to opportunities

• United States
• 100 - 200 Employee

• Open

  • Feb 2018 - Mar 2018



Aviva

• Insurance
• 1 - 100 Employee

• Fraud Manager

  • Jan 2009 - Jan 2018

  Fraud Leader facilitating and implementing best practice to over 100 employees.Coordinate all local and supplier fraud training and awareness and consistently monitoring effectiveness.Capture and share relevant fraud statistics, trends, intelligence and amending/developing best practice in a continuous changing market.Implement Fraud Action plan for EL/PL UK claims.Coordinate and decide all referrals that need Police Referral/IFED.Validate proposed fraud repudiations prior to final decisions allowing details to be sharedacross all Aviva products applying fraud definition.Responsible for fraud resource to support unit.Managed and supported development of UFA to assist UFM duties.Advise key stakeholder of fraud performance, outlook.Coordinate the investigation and decision of complex suspect frauds.QA the efficiency of fraud detection , investigation and handling processes employed in the unit.Liaison Point for Central Fraud Unit, Police, Adjusters, Suppliers, IFB.Provide day to day handling fraud advice for handlers.Analyse results and seek opportunities to enhance performance/risks.Monitor detections to establish current trends.Responsible for all CUE access and support.Suspicious Activity Office – role to ensure all staff are aware of money laundering procedures.Decision point to report cases as potential Money Laundering.IFED successes.Fundamental Dishonesty successes.Identified Slip and Trip Scam and worked with IFB Operation(op Clapham).Worked with IFB with Cavity Wall ClaimsInvolved in the development, implementation and roll out of new analytics and fraud tools.



Norwich Union

• United Kingdom

• Fraud Advisor

  • Jan 2008 - Dec 2008

  Work with Unit Fraud Manager and complete tasks during UFM absence. Duties included:- Mid and end months fraud reviews.All Fraud MI and stats to Management and CFU.Fraud referrals for BI, Property, ECU and Motor PI.Supplier Referrals.Supplier visits.Delegate fraud referrals to TFC’s and UFA’s.Monitor Teams performance.Weekly chats with TFC and CM’s.Arrange SIU visits.Salvage Clearance List.CUE and MIAFTR checks.Roll out Motor PI training.Sign off fraud litigation cases for panelSurveillance sign off

• Liability Claims Handler

  • Aug 2002 - Dec 2008

  Liability claims caseload end to end up to value of £125k.Prioritise workload to achieve target and deadlines whilst balancing with UFA role.Technical referral point within team.Ex Team Fraud Co-ordinator.Targeted on Fraud , Rehab & CRU performance.Communicate at team huddles and encourage others to do so in a constructive and positivemanner.Provide assistance to others with workloads.Specialise in Back Injuries and Occupiers Liability Act.Provided Fraud Training Package to Team to boost results and increase awareness.Complete QA for team and provide feedback to handlers.Liaise with Technical Claims Services to flag cases £125k+ potential.Support development of less experienced with coaching.



CGU/Norwich Union

• Motor & Household Claims Handler

  • Jan 2000 - Aug 2002

  Action Motor and Household claims for unit.Provide customer service on new claims with insured, third party etc.Windscreen claim.Total Loss claims.Liability Dispute cases.Identify Motor PI cases to send to Motor PI unit.Technical referral point.Day to day Coaching for others.



SCOTTISH GENERAL INSURANCE COMPANY LIMITED

• Various roles

  • Jun 1988 - Jan 2000

  Cash Supervisor - Manage a team of 6 to ensure that all cheques/credit card payments processed with a 24 hour turn around and ensure arranged for pick up at noon by Securicor. Values ranged from £100k+ on a daily basis.Assistant Accountant - Provide assistance to accountant in dealing with all company figures within unit, balance sheets, ledgers, profit & loss accounts etc.Accounts Handler - Process all payments for company, deal with commission to brokers.Underwriting - Process all amendments in policies from change of address/vehicles etc andissue additional premium requests or alternatively issue any refunds. Role