We're seeking an experienced Investigator to join our Claims Fraud Investigations team. This is a rare and exciting opportunity to make a real impact.
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Job Description
This role will involve managing a portfolio of investigations into suspected non genuine or fraudulent claims, non-disclosure/misrepresentation and policy breaches. You'll work closely with the National Investigations Manager and Fraud Analysts to reduce QBE's fraud exposure across claims.
A day in this role may look like this:
* Analysing suspected fraudulent and non-genuine general insurance (GI) and people risk claims
* Manage a high volume of investigation referrals compliant to ICA Code of Conduct, best practice guides, customer service protocols, and Privacy requirements
* Manage and perform investigations including interviews into suspected non genuine or fraudulent claims, non-disclosure/misrepresentation and policy breaches focusing on best practice, and collection of evidence to derive claim outcomes
* Instruct and manage external investigative service providers to ensure effective cost and efficient services are provided
* Provide strategic investigative advice to claims
* Interpret data and detect instances of fraud and factual anomalies in a timely manner
* Implementing the appropriate action to combat fraud/high risk exposure
* Contribute to the refinement of processes and procedures to improve fraud analysis and procedures
* Ability to adapt to legislative and industry changes
* Excellent planning and time management skills with the ability to meet competing priorities
Required Skills and Qualifications
* Extensive claims management experience in the general insurance area
* Law enforcement or Insurance Investigation experience highly regarded
* Strong analytical focus and attention to detail
* Strong time management and ability to manage high work volumes and case loads
* Ability to strategize investigations and evidence collection to enable claim decisions and outcomes
Benefits
We offer a range of benefits to help provide holistic support for your work life. As a QBE employee you will have access to and benefit from:
* 'Hybrid Working' – a mix of working from home and in the office to enhance your work/life balance
* Life Leave, supporting the life events we all experience, leaving your annual leave for rest
* 18 weeks' gender-equal flexible leave for all new parents, including paid super
* Income protection insurance & reimbursed Death and Total Permanent Disability insurance premiums
* A range of discounts on insurance products, car hire, hotels, goods and services
About Us
We believe this is our moment – what if it was yours too?