Special Investigation Unit Officer

Role Overview

The Special Investigation Unit (SIU) Officer plays a critical role in the detection, investigation, and prevention of insurance fraud within the Singapore market. This position supports the organization’s fraud risk management efforts by conducting comprehensive investigations, collecting evidence, and collaborating closely with internal teams, external vendors, and law enforcement authorities as needed.

Key Responsibilities

• Identify and evaluate suspicious, inflated, or potentially fraudulent insurance claims across various business lines including Motor, Personal Accident, Medical, and Property insurance.
• Perform full-cycle investigations encompassing desk research, fieldwork, interviews, and background verifications.
• Analyze claims data, loss histories, documentation, and third-party sources to detect fraud indicators.
• Conduct both recorded and informal interviews with claimants, insured parties, witnesses, agents, repair service providers, and medical professionals where relevant.
• Gather, authenticate, and secure evidence in line with company policies and legal standards.
• Draft detailed, objective, and logically structured investigative reports outlining findings and recommendations.
• Maintain accurate and up-to-date documentation within claims and SIU management systems.
• Communicate investigative results to Claims, Legal, Underwriting, and Management teams to guide claims adjudication.
• Track and monitor investigation cases to ensure prompt resolution.
• Collaborate with Claims personnel to offer investigation assistance and advice on fraud risks.
• Coordinate with external service providers such as surveillance agencies, loss adjusters, forensic specialists, and investigators.
• Engage relevant legal counsel, law enforcement bodies, and regulators including Singapore Police Force, Ministry of Manpower, Land Transport Authority, and CPIB when necessary.
• Support legal proceedings by providing evidence, statements, and expert testimony as required.
• Identify evolving fraud tactics and emerging market risks particular to Singapore’s insurance sector.
• Contribute input toward fraud prevention strategies, control mechanisms, and process enhancements.
• Participate in fraud awareness training programs for Claims and other departments.
• Assist in data-driven fraud detection efforts, including setting red-flag criteria and analytics.

Qualifications and Experience

• Diploma or degree in Criminal Justice, Law, Accounting, Insurance, Risk Management, or related fields.
• Professional certifications such as Certified Fraud Examiner (CFE), Associate Chartered Loss Adjuster (AICLA), ANZIIF or equivalents are beneficial.
• Between 3 to 7 years of relevant experience in SIU, claims or fraud investigation, law enforcement, or loss adjusting roles.
• Demonstrated experience investigating insurance fraud within the Singapore market is preferred.
• Practical knowledge of motor and general insurance claims is highly desirable.

Skills and Competencies

• Proficient investigative and analytical abilities with strong critical thinking skills.
• Capability to identify discrepancies, assess credibility, and interpret fraud signals.
• Excellent verbal and written communication skills to prepare clear investigation documentation.
• Sound knowledge of claims handling processes, policy interpretation, and associated legal aspects.
• Demonstrated integrity, discretion, and professionalism in handling sensitive investigations.

Additional Requirements

• Fluent in both English and Mandarin, with strong command over written and spoken communication.
• Well-versed with Singapore’s insurance industry practices, regulatory requirements, and fraud trends.
• Ability to work autonomously and manage multiple investigations simultaneously.
• Willingness and capability to conduct field visits and interviews as part of investigations.
• Comfortable working in high-pressure environments and meeting stringent deadlines.
• Collaborative team member capable of coordinating effectively with Claims and other departments.