Complex Claims Fraud Investigator (Insurance)

TL;DR

Complex Claims Fraud Investigator (Insurance): Investigating complex potentially fraudulent home insurance claims and communicating evidence-based outcomes to customers with an accent on fraud risk, regulatory compliance, and detailed claims assessment. Focus on conducting interviews, solving contradictory evidence problems, collaborating with field colleagues and industry partners, and improving fraud investigation quality through coaching and insights.

Location: Halifax, United Kingdom, with hybrid attendance required at least two days per week or 40% of working time at an office site. Working hours cover Monday to Friday, 8:00–18:00, and Saturday, 9:00–13:00.

Salary: £30,201–£31,790.

Company

hirify.global is a major UK financial services organisation focused on banking, insurance, and the future of finance.

What you will do

• Own and investigate complex potentially fraudulent general insurance claims, including conducting interviews and gathering evidence.
• Analyse complex, high-volume, and contradictory information to reach well-supported claim decisions.
• Collaborate with field-based colleagues, suppliers, senior investigators, technical oversight teams, FNOL managers, and industry partners.
• Explain investigation outcomes and consequences clearly to customers.
• Manage customer-focused complaints in line with the general insurance claims complaints process.
• Provide feedback, coaching, training, management information, and insights to improve fraud knowledge and investigation quality.

Requirements

• Experience or strong capability in general insurance fraud investigations and complex claims assessment.
• Excellent oral and written communication, interviewing, evidence-gathering, and customer outcome communication skills.
• Strong attention to detail, personal organisation, planning, time management, file management, and complaints management.
• Good working knowledge of home insurance principles and relevant fraud and insurance regulations.
• Ability to solve complex problems, prioritise work, deliver results, and collaborate effectively with internal and external stakeholders.
• Willingness to complete the ACF Tech qualification; completion of the CII Certificate is encouraged.

Culture & Benefits

• Inclusive workplace focused on dignity, respect, diversity, and belonging.
• Pension contribution of up to 15%.
• Annual performance-related bonus and share schemes, including free shares.
• 24 days of holiday plus bank holidays.
• Private medical and other wellbeing initiatives, with generous parental leave policies.
• Flexible benefits, including discounted shopping and reasonable adjustments during recruitment where needed.