Job Title: Investigations Specialist
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.
- Manage SIRA alerts.
Key Responsibilities
- Assist the Senior Financial Crime Officer (Advisory & Investigations) in managing ongoing and new financial crime related referrals – including fraud and money‑laundering suspicions.
- Independently lead and conduct new investigations – maintaining clear case files, the Fraud Log, and progress reports to senior management.
- Produce Suspicious Activity Reports and other filings for external reporting purposes when necessary.
- Provide guidance and investigations training to 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 to ensure visibility of key case information.
- Assist in producing MI reports to provide case status and outcome updates for Committees – including the 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 the investigation of the referrals, produce recommendations, identify gaps in controls and remedial actions, meet external reporting requirements, and produce regular reports and oversight to senior management and committee.
Essential Qualifications
- Insurance investigative experience (investigations qualifications advantageous).
- Advanced insurance industry knowledge.
- 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 investigation reports and recommendations.
- Proven experience of handling sensitive and confidential material.
- Experience in management and analysis reporting/committee paper production.
Desirable Qualifications
- 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.
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