Remote Senior Claims Investigator — Fraud Detection Expert

Placements24; Southampton; Hybrid; GBP 70,000 - 110,000; Full time

Benefits offered by this job

Remote work arrangement

Competitive salary & bonus

Professional development

Access to forensic tools

Job summary

Placements24 in the United Kingdom is seeking a highly experienced Senior Claims Investigator to lead a fraud detection unit in a major insurer. This fully remote role focuses on identifying, investigating, and preventing fraudulent insurance claims across lines of business.

The ideal candidate has 7+ years in claims investigation, fraud expertise, and strong analytics. You will develop detection models, conduct investigations, and coordinate with law enforcement and internal teams while

Qualifications

• Bachelor's degree in a related field required.
• 7+ years of experience in insurance claims investigation with focus on fraud.
• Strong investigative techniques, evidence gathering, and interview methodologies.

Responsibilities

• Conduct in-depth investigations into suspected fraudulent insurance claims, gathering evidence and documenting findings.
• Develop and refine fraud detection models, analytics, and investigative techniques.
• Analyze claim data, identifying patterns, red flags, and potential indicators of fraud.
• Collaborate with claims handlers, legal teams, and other internal departments to manage fraud cases.
• Liaise with external agencies, including law enforcement and regulatory bodies, as required.
• Prepare detailed investigation reports and present findings to management and relevant stakeholders.
• Provide training and guidance to claims staff on fraud awareness and prevention.
• Stay current with emerging trends and typologies in insurance fraud.

Skills

Analytical skills

Data mining

Investigative techniques

Education

Bachelor's degree in Criminology, Law, Forensic Science, Business, or related field

Tools

Fraud detection software

Job description

Placements24 in the United Kingdom is seeking a highly experienced Senior Claims Investigator to lead a fraud detection unit in a major insurer. This fully remote role focuses on identifying, investigating, and preventing fraudulent insurance claims across lines of business.

The ideal candidate has 7+ years in claims investigation, fraud expertise, and strong analytics. You will develop detection models, conduct investigations, and coordinate with law enforcement and internal teams while