SIU Claims Manager
Job Fit Check
Base Career helps you apply smarter for this job.
Key skills for this role
Role Overview
The SIU Claims Manager leads the identification, investigation, prevention, and mitigation of fraudulent insurance claims.
The role develops fraud detection strategies, supports regulatory compliance, minimises financial losses, and promotes fraud awareness.
The postholder works with Claims, Underwriting, Legal, Compliance, Data Analytics, and external stakeholders.
Key Skills for This Role
Full Job Posting
Role Overview
The SIU Claims Manager leads the identification, investigation, prevention, and mitigation of fraudulent insurance claims.
The role develops fraud detection strategies, supports regulatory compliance, minimises financial losses, and promotes fraud awareness.
The postholder works with Claims, Underwriting, Legal, Compliance, Data Analytics, and external stakeholders.
Employment and Schedule
- The position is permanent and scheduled for 35 hours per week.
- The stated location is London.
Claims Fraud Investigations
- Lead complex and high-value claims fraud investigations from referral through resolution.
- Assess, triage, and allocate suspected fraud cases.
- Review evidence, investigation reports, surveillance findings, and intelligence sources.
- Determine outcomes including repudiation, civil recovery, prosecution referral, or settlement recommendations.
Fraud Strategy and Controls
- Contribute to fraud prevention strategy and identify emerging fraud trends, risks, and vulnerabilities.
- Recommend process improvements and fraud controls to reduce exposure.
- Support fraud detection technologies, analytics, and intelligence-led investigations.
Stakeholder and External Relations
- Partner with Claims, Underwriting, Legal, Compliance, and Risk teams.
- Liaise with external investigators, solicitors, police, insurers, and fraud intelligence networks.
- Represent the organisation in external forums, industry groups, and regulatory discussions when required.
Compliance and Reporting
- Ensure investigations comply with legislation, FCA requirements, data protection regulations, and company policies.
- Maintain accurate case records and support internal and external audits.
- Report on fraud performance, trends, outcomes, detection rates, and financial savings.
Essential Qualifications
- Significant experience in insurance claims fraud investigation, financial crime, or fraud risk management is required.
- Strong knowledge of insurance claims processes, fraud typologies, legal and regulatory requirements, and data protection is required.
- Experience with complex, organised, and high-value fraud investigations is required.
- Analytical, investigative, stakeholder management, influencing, report writing, and presentation skills are required.
Desirable Qualifications
- Experience within a Special Investigations Unit is desirable.
- Experience collaborating with law enforcement agencies is desirable.
- Professional accreditation in fraud investigation or financial crime is desirable.
Company Information and Benefits
- Tokio Marine HCC describes itself as a specialty insurer focused on risk management, customer values, and growth.
- The company offers a competitive salary and employee benefit package.
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career