Special Investigations Manager - Claims Fraud

A Special Investigations Unit (SIU) Manager – London Market is accountable for leading and embedding an effective SIU capability across London Market claims, overseeing direction and delivery of fraud investigation activity, ensuring suspected fraudulent claims are identified early, investigated thoroughly, and managed in line with regulatory, legal, and market expectations. The role plays a critical part in strengthening fraud resilience across complex, high‑value, and multi‑jurisdictional London Market claims, working closely with Claims, Underwriting, Legal, Compliance and external partners to maintain consistent, high‑quality outcomes.

You will interact with senior stakeholders across the organisation, influencing others, and critical thinking will be key to overcoming challenges.

• Lead and manage London Market SIU activity, ensuring timely, proportionate, and effective investigation of suspected fraudulent claims.
• Oversee SIU case triage, allocation, and prioritisation in line with fraud risk, claim value, and complexity.
• Maintain oversight of SIU workload, capacity, and investigation quality across internal teams and third‑party providers.
• Lead the identification and investigation of complex fraud typologies relevant to London Market business, including multi‑party, cross‑border, and organised fraud risks.
• Develop and embed fraud indicators and investigative approaches aligned to London Market classes and claim profiles.
• Support the continuous improvement of fraud detection, referral, and investigation processes across Claims.
• Act as the senior SIU point of contact for London Market Claims, Legal, Compliance, Underwriting, and senior leadership.
• Build and maintain strong working relationships with external stakeholders including SIU vendors, law enforcement, regulators, market bodies and industry counterparts.
• Ensure SIU activity complies with regulatory requirements, fraud legislation, data protection standards and internal governance frameworks.
• Provide training and guidance to the London Market business units on fraud detection best practices.
• Produce accurate, timely and relevant management reporting of the success of the counter‑fraud strategy.

A highly experienced London Market fraud professional with a proven track record of leading and developing SIU operations within complex commercial insurance environments, recognized for strong investigative expertise, sound judgement and the ability to influence senior stakeholders across Claims, Legal, Compliance and Underwriting to deliver effective, proportionate, and compliant fraud outcomes across high‑value, multi‑jurisdictional environments.

• Proven experience leading or managing an SIU or fraud investigation function within insurance covering London Market or specialty commercial lines.
• Deep understanding of insurance fraud typologies, investigative techniques, and referral models relevant to complex and specialty risks.
• Experience overseeing high‑value and complex claims investigations, including multi‑party, cross‑border or organised fraud cases.
• Strong working knowledge of regulatory and legal frameworks relating to insurance fraud, data protection, and claims handling.
• Demonstrable experience managing third‑party SIU vendors, including performance oversight, quality assurance and cost control.
• Ability to interpret and use fraud data, MI and analytics to support investigation strategy and decision‑making.
• Experience contributing to governance, audit or regulatory reviews relating to fraud or claims controls.
• Background in delivering or supporting fraud awareness and training for claims handlers and business stakeholders.
• Professional fraud or investigation qualifications (e.g. CIFA, FCLS/FCLA or equivalent).
• Ability to effectively communicate with all stakeholders across the business.
• Ability to prioritise and take ownership of tasks.
• A team player who is also able to work independently to deliver in a fast‑paced environment.