Senior Fraud Claims Adjuster

DiverseJobsMatter; Leeds; Hybrid; GBP 65,000 - 90,000; Full time

Benefits offered by this job

Hybrid and flexible working options

Pension scheme with strong contributions

Fully funded private medical insurance

Inclusive family-friendly policies

Wellbeing and lifestyle benefits

Remote working abroad options

Wellbeing benefits

Job summary

A prominent recruitment agency is seeking a Senior Fraud Claims Adjuster to lead fraud investigations and manage specialist claims. The role demands an experienced professional with a background in fraud investigation and strong analytical skills. Responsibilities include leading complex investigations, ensuring compliance, and maintaining high standards of customer service. The position offers a hybrid working model with benefits that include a pension scheme and private medical insurance. Join a company committed to diversity and inclusion.

Qualifications

• Significant experience in fraud investigation with exposure to organised fraud.
• Experience handling complex claims across multiple lines of business.
• Strong analytical and investigative skills.
• Solid understanding of claims processes, regulatory requirements and compliance standards.
• Strong written skills with experience producing statements, investigation reports, and management information.
• Effective negotiation and stakeholder management to influence outcomes.
• Understanding of counter-fraud strategies, including litigation considerations.
• Experience in London Market or similarly complex claims environments.
• Experience collaborating with external agencies, reinsurers, or legal partners on fraud outcomes.

Responsibilities

• Lead complex fraud investigations ensuring fair outcomes.
• Handle specialist fraud claims and reduce leakage.
• Produce management information to support decisions.
• Pursue recovery opportunities, including subrogation and contribution, where appropriate.
• Build strong relationships with internal stakeholders (including underwriting) and external partners, promoting transparent and collaborative working.
• Act as a technical referral point, providing guidance, support, and mentorship to colleagues.
• Maintain oversight of portfolio activity, ensuring accurate reserving and timely system updates to provide clear visibility of liabilities.
• Produce management information and reports to support insight-led decisions and inform underwriting and claims strategy.
• Support continuous improvement initiatives, including the development and implementation of fraud and claims strategies.
• Deliver a customer-focused and inclusive service, responding to stakeholder requests promptly and professionally.

Skills

Fraud investigation

Analytical capability

Stakeholder management

Negotiation skills

Stakeholder management

Job description

Overview

Our client is seeking a Senior Fraud Claims Adjuster to lead complex fraud investigations and specialist claims handling across multiple lines of business. This is a high-impact role for an experienced fraud professional who thrives on investigative work, technical decision-making, and driving robust counter-fraud outcomes.

You will act as a technical expert and escalation point, mentoring colleagues while partnering with internal teams and external agencies to protect customers, manage financial exposure, and support best-in-class claims solutions.

Responsibilities

• Lead complex fraud investigations, ensuring fair outcomes while protecting the business from financial and reputational risk.
• Handle specialist fraud claims efficiently, reducing leakage and maintaining high customer service standards.
• Identify coverage and liability issues to ensure decisions align with contractual commitments and regulatory requirements.
• Pursue recovery opportunities, including subrogation and contribution, where appropriate.
• Build strong relationships with internal stakeholders (including underwriting) and external partners, promoting transparent and collaborative working.
• Act as a technical referral point, providing guidance, support, and mentorship to colleagues.
• Maintain oversight of portfolio activity, ensuring accurate reserving and timely system updates to provide clear visibility of liabilities.
• Produce management information and reports to support insight-led decisions and inform underwriting and claims strategy.
• Support continuous improvement initiatives, including the development and implementation of fraud and claims strategies.
• Deliver a customer-focused and inclusive service, responding to stakeholder requests promptly and professionally.

Requirements

• Significant experience in fraud investigation, including exposure to organised fraud and/or fraud rings.
• Experience handling complex claims across multiple lines of business (e.g. motor, casualty, and other commercial classes).
• Strong analytical and investigative capability, with the ability to identify patterns, assess risk, and make accurate decisions.
• Solid understanding of claims processes, regulatory requirements, and compliance standards.
• Strong written skills, with experience producing statements, investigation reports, and management information.
• Effective negotiation and stakeholder management skills, with the ability to build trust and influence outcomes.
• Understanding of counter-fraud strategies, including litigation and prosecution considerations.
• Experience in London Market or similarly complex claims environments.
• Experience working closely with external agencies, reinsurers, or legal partners on fraud outcomes.
• Experience contributing to fraud strategy, frameworks, or continuous improvement initiatives.
• 30 days’ annual leave, with the option to purchase additional days.
• Hybrid and flexible working options (including part-time, job share, or compressed hours where applicable).
• Pension scheme with strong employer contributions.
• Fully funded private medical insurance for you and your family.
• Inclusive family-friendly policies with enhanced parental leave.
• Short-term remote working abroad options (subject to policy).
• Wide-ranging wellbeing, lifestyle, and flexible benefits options.
• Inclusive working environment where diverse perspectives are valued.

Application Process

To apply, submit your application via the standard “Apply” process, including your CV and relevant supporting information. Suitable candidates will be contacted to discuss the opportunity further.

Our client is committed to equality, diversity, and inclusion and welcomes applications from candidates of all backgrounds. Reasonable adjustments and workplace accommodations will be supported throughout the recruitment process.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• General Business

Industries

• Insurance