Fraud Investigation

Join a leading insurance firm as a Fraud Investigation Lead! Lead complex investigations, interview employees and agents, guide senior management, and deliver fraud‑prevention training. Help strengthen integrity and compliance in a collaborative environment. Hybrid role based in BGC, Taguig.

A leading organisation in the insurance sector is seeking a Fraud Investigation Lead to play a pivotal role in safeguarding its operations and upholding the highest standards of integrity. This position offers you the opportunity to be at the forefront of fraud prevention, ensuring that both company practices and agent activities align with local and international compliance requirements. You will be relied upon as the primary contact for all matters related to fraud or misconduct, providing expert guidance, conducting thorough investigations, and delivering insightful recommendations to senior management. The organisation values your ability to foster a culture of transparency and accountability through comprehensive training and clear communication. With flexible working opportunities and a supportive leadership team, this is an exceptional chance to make a meaningful impact while advancing your career within a collaborative environment.

• • Take ownership of complex fraud and misconduct investigations, ensuring every case is handled with diligence, sensitivity, and professionalism while maintaining strict confidentiality throughout the process.
• • Deliver impactful training sessions that empower employees to recognise risks and adhere to best practices, contributing directly to a culture of compliance and ethical behaviour across the business.
• • Collaborate closely with auditors, regulators, and internal stakeholders, preparing detailed reports that inform strategic decisions and help shape future policies for risk mitigation.

What you'll do:

As a Fraud Investigation Lead, you will be entrusted with managing sensitive cases from initial detection through resolution. Your day-to-day responsibilities will involve collaborating with various departments to ensure compliance with established policies while identifying vulnerabilities that could expose the organisation to risk. You will regularly interact with both internal stakeholders—such as management teams—and external parties like auditors or regulators. By delivering targeted training programmes, you will help build awareness around fraud prevention strategies. Your analytical skills will be essential in monitoring trends and producing insightful reports that drive informed decision-making at the highest levels. Success in this role means not only resolving incidents efficiently but also fostering an environment where ethical conduct is second nature.

• Conduct thorough investigations into suspected fraud or misconduct cases involving agents or employees, gathering evidence, interviewing relevant parties, and documenting findings in detail.
• Monitor adherence to both local laws and global company standards regarding fraud prevention, ensuring all activities are compliant with regulatory expectations.
• Prepare comprehensive reports for regional offices, committees, and senior management that clearly outline investigation outcomes along with actionable recommendations.
• Track complaint trends and analyse data to identify emerging risk patterns or areas requiring additional oversight within the organisation.
• Deliver engaging fraud awareness training sessions for employees at all levels, helping them understand policies and proactively avoid potential risks.
• Coordinate effectively with external auditors and regulatory bodies during reviews or inspections, providing necessary documentation and insights as required.
• Maintain meticulous records of all investigations conducted, ensuring information is accurate, secure, and readily accessible for future reference or audits.
• Support the development and continuous improvement of internal controls by sharing insights gained from investigations and trend analysis.
• Advise on conflicts of interest rules and ensure these are communicated clearly across teams to prevent breaches before they occur.

What you bring:

Your background should demonstrate substantial experience in compliance or investigative functions within regulated industries such as insurance or banking. You bring a proven track record of managing sensitive cases discreetly while maintaining objectivity throughout each stage of the process. Your interpersonal skills allow you to communicate complex issues clearly whether presenting findings to executives or guiding team members through challenging situations. A keen eye for detail supports your ability to spot trends early on—helping prevent issues before they escalate. Additionally, your commitment to ongoing professional development means you stay current on evolving regulations so your advice remains relevant and reliable. The ideal candidate thrives when working collaboratively within cross-functional teams yet remains dependable when trusted with confidential assignments.

• Minimum five years’ experience in compliance, risk management, or investigative roles within insurance or banking sectors is highly desirable for this position.
• At least one year’s supervisory or team guidance experience is expected so you can support colleagues effectively throughout complex cases.
• Demonstrated expertise in handling intricate investigations—including evidence collection, analysis, and conducting interviews—is crucial for success in this role.
• Proven ability to write clear, concise reports complete with practical recommendations tailored for senior management audiences is essential.
• Comprehensive understanding of local fraud laws as well as international compliance standards ensures you can navigate regulatory landscapes confidently.
• Excellent project management abilities are needed as you will balance multiple ongoing cases alongside regular reporting duties without compromising quality or deadlines.
• Outstanding communication skills enable you to explain policies, findings, and procedures clearly to diverse audiences across the organisation.
• Familiarity with conflict of interest regulations allows you to advise others on best practices for avoiding potential breaches before they arise.
• Strong organisational skills ensure all records are maintained accurately while supporting audit readiness at any time.

What sets this company apart:

What's next:

If you are ready to take on a vital role where your expertise can truly make an impact on organisational integrity and employee awareness, this opportunity awaits your application!

Apply today by clicking on the link provided—your next rewarding career move starts here.

Due to the high volume of applications we are experiencing, our team will only be in touch with you if your application is shortlisted.