London Market Special Investigations Manager (Claims Fraud)

TL;DR

London Market Special Investigations Manager (Claims Fraud): Leading and embedding SIU capability for suspected fraudulent claims in complex, high-value London Market insurance with an accent on oversight, multi-jurisdictional investigations, and fraud indicator development. Focus on refining detection models, managing third-party providers, and ensuring regulatory compliance across claims workflows.

Location: London - Hybrid (min 2 days in the office per week)

Company

International specialist insurer focusing on unique risks in key expertise areas, underpinned by a culture of innovation, integrity, and challenging conventions.

What you will do

• Lead London Market SIU activity, including case triage, allocation, prioritisation, and investigation of suspected fraudulent claims
• Oversee SIU workload, capacity, and quality across internal teams and third-party providers
• Identify and investigate complex fraud typologies, such as multi-party, cross-border, and organised fraud risks
• Develop and embed fraud indicators, detection models, and investigative approaches tailored to London Market claims
• Act as senior SIU contact for Claims, Legal, Compliance, Underwriting, and external stakeholders including vendors, law enforcement, and regulators
• Provide training on fraud detection and produce management reporting on counter-fraud strategy success

Requirements

• Experienced London Market fraud professional with proven track record leading SIU operations in complex commercial insurance
• Strong investigative expertise, sound judgement, and ability to influence senior stakeholders across Claims, Legal, Compliance, and Underwriting
• Deep knowledge of insurance fraud typologies, techniques, and regulatory/legal frameworks for fraud, data protection, and claims handling
• Ability to interpret fraud data, analytics, and MI for investigation strategy
• Experience managing third-party SIU vendors with performance oversight and cost control
• Strong communication skills for stakeholders and independent work in fast-paced environment

Nice to have

• Experience with high-value, multi-party, cross-border fraud cases
• Background in fraud awareness training and governance/audit reviews
• Professional qualifications (e.g., CIFA, FCLS/FCLA)

Culture & Benefits

• Hybrid working model set by team for work-life balance, combining office structure with flexibility
• Commitment to diversity, inclusion, and hiring the best talent
• Culture encouraging creativity, challenging status quo, and doing the right thing
• Focus on smart, reliable people who support customers and each other