Head of Claims Fraud

  • Location

    East Sussex

  • Discipline:

    Financial Crime & Fraud

  • Job type:


  • Salary:

    £100,000 + Excellent Benefits

  • Consultant:


  • Email:


  • Job ref:


  • Published:

    over 1 year ago

Our client, a leading insurance provider, is looking for a Head of Claims Fraud to join the business in this senior leadership role to provide the ownership of the claims fraud defence strategy, process and operation. You will need to utilise your expert claims knowledge, coupled with technology, analytics and industry data to identify and remedy all types of claims fraud, as well as demonstrating the impact that counter fraud initiatives have on peril spend and loss ratio.

Key responsibilities include:

  • Oversee the businesses functions and operations of c.120 colleagues & 4 direct reports across two locations
  • Implement an analytical approach to claims fraud identification, utilising current and new technologies to identify all instances of fraud
  • Continually strive to evolving our claims fraud defence tactics to stay ahead of the competition and fraudsters, with specific peril led strategies
  • Working with both internal and external stakeholders to build a proactive fraud avoidance strategy, to reduce fraud frequency
  • Development of a market leading Credit Hire fraud defence capability, including skills and technology / data enhancement
  • Leadership of the claims fraud defence operation to repudiations of c.£52m (in 2020)
  • Maintain strong and effective relationships with the special investigations unit to optimise the effectiveness of systems and tools

The Person:

  • Effective communication, verbal, written and presentation abilities
  • Demonstrated willingness to be flexible and adaptable to changing priorities
  • Showing integrity, fairness and consistency in decision making


Qualifications/Key Skills:


  • Highly analytical, using data to deliver fraud defence tactics
  • Understanding of how fraud impacts the insurance industry, with in depth knowledge claims fraud
  • Delivery of excellent customer service through large operational teams
  • Strong leadership and operations management
  • Ability to deliver through others (team and stakeholders)
  • An entrepreneurial mind-set and the desire to make a difference
  • Proven ability to interact efficiently with other teams


  • In depth knowledge of claims counter fraud systems
  • Thorough understanding of the end to end claims management journey


Please note, should you not receive feedback 28 days, unfortunately your application has been unsuccessful. However, we may be in touch with similar relevant opportunities.