Acromas Insurance Company
CVT Manager at Acromas Insurance Company
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I am a highly motivated Management Professional with eclectic claims management knowledge and experience. I am a highly motivated, punctual, pragmatic, intelligent, enthusiastic, hard working individual who is able to communicate at all levels and am looking for a Claims Management Challenge for a larger Motor Insurer.
Specialties:My experience includes claims handling at all levels specialising in Fraud since 1998 and experience includes managing small and large teams, staff development, training and motivation, project work and stakeholder management.
I am conversant with contractual Policy obligations, FOS considerations within a Fraud environment, ACPO guidelines, PACE, RIPA, Fraud Act, Proceeds of Crime Act 2002, Terrorist Act 2000, Human Rights Act and SOCPA.
My responsibilities include implementing a Claims Fraud Policy and strategy, identification of risk and implementation of short term and long term processes and procedures, seamless integration within the business, procurement and management of supply chain, training, policies and procedures, auditing, reviewing aged claims, reviewing new claims, case handling at all levels, referral handling, intelligence reviews, attending Court and conferences with Counsel, MI reporting and tracking legal precedents. I report directly to Claims Manager Ian Sinho.
I have also set up a small team to handle the identified 'suspect' fraud claims.
Within this role I have also reviewed potential anti money laundering threats and risks across the commercial lines business and produced a paper identifying the key requirements and recommendations to ensure compliance.
1990 – 1997 Motor Claims handler – handling all aspects of Motor Insurance claims including AD, theft, recovery, credit hire, new claims reserving, indemnity including liability under the RTA, personal injury claims, fatalities, litigation and costs negotiation.
1997 – 2003 Specialised in detection, investigation and defending fraudulent motor insurance claims including pleading fraud in civil court. Set up Fraud handling team for Churchill Insurance in March 1998. This role involved all aspects of man management within the team including handling HR matters, 1 2 1’s, reviews, individual file audits, training, development and motivation.
2004 – June 2005 National Motor Claims Validation Manager responsible for management, training, 1 2 1’s, Personal Development Plans, setting KPI’s and staff measurement against KPI’s, work state reporting, technical referrals, complaint handling, budget, recruitment, project management, implementing a complete training package and rolling program, auditing, short and long term strategy definition and process delivery for 12 Motor Insurance Fraud investigation teams across 10 sites totaling 180 staff handling simple to multiple linked complex fraud cases to civil trial as appropriate.
Jun 2005 – Oct 2007 Financial Crime Reporting Officer – Responsible for identification of AML & S&TF risk for General Insurance, implementation of appropriate processes and controls and training for 18,500 employees in UK and across Europe. My team being responsible for the daily servicing and upward reporting of suspicions generated from the business as well as servicing of reports and sanctions matches. Including reporting to Group systems and SOCA.
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