Claims Fraud Triage Handler

At Zego, we understand that traditional motor insurance holds good drivers back. It's too complicated, too expensive, and it doesn't reflect how well you actually drive. Since 2016, we have been on a mission to change that by offering the lowest priced insurance for good drivers.

From van drivers and gig workers to everyday car drivers, our customers are the driving force behind everything we do. We've sold tens of millions of policies and raised over $200 million in funding and picked up numerous awards, including the Insurance Claims Team Of The Year 2024 as awarded at The Insurance Post's Claims & Fraud Awards. And we're only just getting started.

As a Claims Fraud Triage Handler, you will play a critical frontline role in Zego's fraud prevention strategy, serving as the first line of defense in identifying and assessing potentially fraudulent claims. Using a combination of industry-standard tools, trusted data sources, and innovative technologies such as AI and telematics, you'll make swift, accurate decisions that safeguard both the business and our customers. Your expertise will ensure that high-risk cases are efficiently identified and referred to our specialist fraud investigation team for deeper analysis.

Why You'll Love This Role

You'll join the frontlines of fraud prevention in insur-tech combining cutting edge tools, fast paced decision making, and meaningful impact, all with the support of expert teams, rich data, and ongoing professional growth.

Fraud Screening & Triage

• Conduct first-line screening of incoming claims to detect potential fraud indicators
• Triage cases based on risk signals, intelligence flags, and known fraud patterns
• Query internal and external intelligence systems for enhanced insights during investigations

Investigative Analysis

• Review documentation, validate claimant statements, and identify discrepancies or suspicious patterns
• Use network analysis tools and historical data to uncover links to suspected or known fraud rings
• Leverage AI-driven tools and telematics data to detect anomalies, analyze documents, and recognize recurring fraud tactics

Collaboration & Escalation

• Prepare and package triaged claims with clear rationale, case notes, and recommended next steps for escalation
• Liaise with internal stakeholders (adjusters, investigators, risk analysts) and external contacts (e.g. IFB) on complex or high-risk cases

Documentation & Compliance

• Maintain detailed and accurate records of all actions, decisions, and tools used within case management systems
• Ensure all activities adhere to internal policies, regulatory requirements, and industry best practices

Performance & Continuous Improvement

• Meet or exceed KPIs related to triage volume, decision accuracy, and escalation timeliness
• Provide feedback to improve triage workflows, fraud detection rules, and investigation processes
• Collaborate with the intelligence team to enhance referral quality and improve fraud prevention outcomes

Technical Proficiency

• Proficient in using SIRA and other industry-standard fraud detection platforms and data sources
• Familiar with IFB workflows and best practices for intelligence sharing
• Experience in, or openness to adopting, AI-powered tools for fraud triage and investigations
• Skilled in interpreting and applying telematics data to support claim validation and fraud detection

Claims & Fraud Expertise

• Strong understanding of the motor insurance claims lifecycle and common fraud indicators
• Proven track record of identifying fraud rings and organised networks
• Analytical mindset with the ability to evaluate evidence and make well-reasoned triage decisions

We believe that teams work better when they have time to collaborate and space to get things done. We call it Zego Hybrid.

We foster a flexible approach that empowers every Zegon to perform at their best. We ask you to spend one day a week in our central Halifax office. We also spend some time in our London or Halifax office for company and team events, normally once a quarter. We offer hybrid travel contributions and help you pay towards other travel costs. We think it's a good mix of collaborative face time and flexible home-working, setting us up to achieve the right balance between work and life.

We believe in the power of AI to meaningfully improve how we work - helping us move faster, think differently, and focus on what matters most. At Zego, we encourage people to stay curious and intentional about how AI is leveraged in their work and teams to drive practical impact every day. This is your chance to do the most meaningful work of your career - and we'll provide you with the tools, support, and freedom to do it well.

We reward our people well. Join us and you'll get a market-competitive salary, private medical insurance, company share options, generous holiday allowance, and a whole lot of wellbeing benefits. And that's just for starters.

We're an equal-opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, national origin, gender, sexual orientation, age, marital status, or disability status.