Special Investigations Manager – Claims Fraud

🕒 April 15

🏢🏡 London – Hybrid

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Hiscox

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Hiscox is a leader in specialist insurance. We seek to provide the best protection and peace of mind for our clients through high quality insurance products, backed with excellent service. We are experts in covering a wide range of personal and commercial risks.

📋 Description

• 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 claims 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

🎯 Requirements

• An experienced London Market fraud professional with a proven track record of leading and developing SIU operations within complex commercial insurance 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)

🏖️ Benefits

• Diversity and Hybrid working • Commitment to diversity and creating a truly inclusive culture • Health insurance • Pension scheme • Flexible working hours • Professional development opportunities