Special Investigations Manager - Claims Fraud

TL;DR

Special Investigations Manager - Claims Fraud: Lead and embed a Special Investigations Unit capability for London Market claims with an accent on identifying, investigating, and managing suspected fraudulent claims early and thoroughly. Focus on building fraud indicators and controls using enriched data, advanced analytics, and emerging technologies while ensuring regulatory, legal, and market-compliant outcomes across complex, high-value, multi-jurisdictional portfolios.

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

Company

hirify.global is an international specialist insurer.

What you will do

• Lead and manage London Market SIU activity, ensuring timely, proportionate, and effective investigations of suspected fraudulent claims.
• Oversee SIU case triage, allocation, and prioritisation based on fraud risk, claim value, and complexity.
• Identify and investigate complex fraud typologies, including multi-party, cross-border, and organised fraud risks.
• Develop and embed fraud indicators and investigative approaches aligned to London Market classes and claims profiles.
• Improve fraud detection, referral, and investigation processes across Claims, including management reporting on counter-fraud strategy success.
• Act as the senior SIU point of contact and manage relationships with internal stakeholders and external partners (SIU vendors, law enforcement, regulators, and market bodies).

Requirements

• Experienced London Market fraud professional with a proven track record leading or developing SIU operations in complex commercial insurance environments.
• Strong investigative expertise and sound judgement, with the ability to influence senior stakeholders across Claims, Legal, Compliance, and Underwriting.
• Deep understanding of insurance fraud typologies, investigative techniques, and referral models for complex and specialty risks.
• Working knowledge of regulatory and legal frameworks for insurance fraud, data protection, and claims handling.
• Experience overseeing high-value and complex claims investigations, including multi-party, cross-border, or organised fraud cases.
• Ability to manage third-party SIU vendors, including performance oversight, quality assurance, and cost control.

Culture & Benefits

• Hybrid working model with a team-set schedule (minimum 2 office days per week) to support work-life balance.
• Inclusive culture focused on integrity, vigilance, and challenging convention.
• Opportunity to shape future fraud capabilities and influence strategic decisions.
• Hands-on role with close collaboration across Claims, Underwriting, Legal, Compliance, data science, and external partners.

Hiring process

• Interviews with senior stakeholders to assess investigative capability, judgement, and stakeholder influence.
• Discussion of experience managing SIU operations, vendor oversight, and compliance requirements.