Investigations Specialist (FTC)

Posted 25 Days Ago
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London, Greater London, England, GBR
In-Office
Mid level
Insurance
The Role
Lead and manage insurance-related investigations into suspected fraud and money laundering. Produce internal and external reports (including Suspicious Activity Reports), maintain and enhance the Fraud Log, review SIRA alerts to resolution, deliver MI and committee papers, and provide guidance and training to claims and underwriting teams.
Summary Generated by Built In

Job Title: Investigations Specialist    

Reporting to: Senior Financial Crime Officer

Direct Reports: None

Position Type: FTC (6 months)

Overview:

Why Tokio Marine HCC?

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, and

  • 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.  Please visit www.tmhcc.com for more information about our companies.

#LI-AM2

Skills Required

  • Insurance investigative experience
  • Investigations qualifications
  • Advanced insurance industry knowledge
  • Working knowledge of civil and statutory law relating to investigations
  • Working knowledge of fraud detection tools
  • Proven experience evaluating, handling and packaging intelligence and evidence
  • Proven experience producing investigation reports and recommendations
  • Proven experience handling sensitive and confidential material
  • Experience in management and analysis reporting / committee paper production
  • Wholesale, retail and London market insurance knowledge
  • UK, European and worldwide regulatory/legal reporting knowledge
  • Knowledge of Police, IFED, NCA, HMRC, FCA
  • Training and coaching experience
  • Experience producing procedural documentation

Tokio Marine Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Tokio Marine and has not been reviewed or approved by Tokio Marine.

  • Healthcare Strength Medical options include established carriers with PPO and HDHP choices, plus dental, vision, pharmacy, telehealth, and condition‑specific programs for comprehensive access. An employee assistance program and mental‑wellbeing resources further reinforce day‑to‑day support.
  • Retirement Support A 401(k) with company match and employer‑paid life and disability coverage strengthen long‑term financial security. Careers materials and recent updates signal continued attention to retirement and protection benefits.
  • Wellbeing & Lifestyle Benefits Wellness incentives, fitness access, and a holistic “body, mind, wallet, life” framework expand total‑rewards value beyond insurance alone. Paid volunteer time and community programs add lifestyle‑oriented benefits aligned with purpose.

Tokio Marine Insights

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The Company
Houston, Texas
2,600 Employees

What We Do

Tokio Marine HCC can help you or your clients be prepared for unpredictable weather patterns. Event weather insurance protects revenue losses caused by adverse weather conditions that reduce attendance and the sales of concessions, food and parking.

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