Investigations Specialist (FTC)

Reporting to: Senior Financial Crime Officer

Direct Reports: None

Position Type: FTC (6 months)

Overview:

Standing still is not an option in the current world of Insurance. TMHCC are one of the world’s leading Specialty Insurers. With deep expertise in our chosen lines of business, our unparalleled track record and a solid balance sheet, TMHCC evaluates and manages risk like no one else in the industry. Looking beyond profit, empowering our people and delivering on our commitments are at the core of our customer values, and so is a desire to grow and provide creative and innovative solutions to our clients.

Job Purpose:

• Lead and manage incoming investigations
• Produce external reporting submissions as needed
• Produce internal reports - including maintenance and uplift of Fraud Log
• Support/train business lines on investigations management
• Management of SIRA alerts

Key Responsibilities:

• Assist the Senior Financial Crime Officer (Advisory & Investigations) in the management of ongoing and new, Financial Crime related referrals – including any Fraud and money laundering suspicions.
• Independently lead and conduct new investigations – maintaining clear case files, the Fraud Log, and progress reports to senior management.
• Where necessary, produce Suspicious Activity Reports and other filings for external reporting purposes.
• Provide guidance and Investigations training to the first line teams (Claims, Underwriting) – including recommendations for remediating actions where Fraud is suspected or confirmed.
• Review and enhance the structure of the Fraud Log ensuring visibility of key case information.
• Assist in producing MI reports to provide case status and outcome updates for Committees – including Financial Crime Controls Committee (FCCC).
• Review fraud screening alerts (SIRA tool) and investigate suspicious activity through to resolution.

Performance Objectives:

Within your first 3-6 months at TMHCC you should expect:

• To see and handle a variety of referrals where fraud and suspicious activity has been detected.
• Lead in the investigation of the referrals – produce recommendations, identify gaps in controls remedial actions and external reporting requirements.
• Produce regular reports and oversight to senior management and committee.

Skills and Experience Specification:

Essential:

• Insurance Investigative experience essential (investigations qualifications advantageous)
• Advanced insurance industry knowledge essential
• Working knowledge of civil & statutory law relating to investigations (including external authority reporting obligations)
• Working knowledge of fraud detection tools advantageous
• Proven experience of evaluating, handling and packaging intelligence and evidence
• Proven experience of producing investigations reports and recommendations
• Proven experience of handling sensitive and confidential material.
• Experience in management and analysis reporting/committee paper production

Desirable:

• Wholesale, retail and London market insurance knowledge
• UK, European and worldwide regulatory/legal reporting knowledge
• Police (and Insurance Fraud Enforcement Dept IFED), NCA, HMRC FCA knowledge.
• Training and coaching experience.
• Experience in producing procedural documentation

What We Offer:

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of companies is an equal opportunity employer.

Your success is our priority. In a world that is rapidly changing, TMHCC enables you to take on opportunities with confidence. At Tokio Marine HCC, we pride ourselves on hiring the smartest, most conscientious people, who want to make a difference no matter their background. And then we give them the support and trust they need. We’re always looking for curious, creative transformative thinkers who want to change the status quo and have a passion for doing the right thing. If this is you, then we want you on our team.