Fraud Risk And Investigations Lead
vor 5 Stunden
Add expected salary to your profile for insights.Adica Insurance is an Australian company which is part of the global MS&AD Group, headquartered in Japan.
We offer motor vehicle insurance to the Australian market under the Toyota, Lexus & Powertorque Insurance brands.
At Adica, we put people first.
We strive to create a place where everyone is welcome, and everyone can flourish.
Here is a place you can learn and grow, challenge yourself and discover new possibilities.
We have a strong culture of internal progression, and we love to help our people find out exactly what they're capable of.
We know that life is not all about work, but work is a big part of life, so we embrace flexibility to make sure work doesn't get in the way of the other things that matter.
We operate a hybrid model - with office space for collaboration, creativity and relationship building, and home offices for focused work where you can better manage life's other demands.
Adica Insurance is recognised as an Employer of Choice and is also a certified Family Inclusive Workplace.
We are also proud to be a member of the Diversity Council Australia.
We've recently been awarded the prestigious ANZIIF award for Small / Medium General Insurer of the year.The Role & The TeamWe are strengthening our focus on fraud risk through the creation of this new role.
As the Fraud Risk and Investigations Lead, you will be responsible for developing and executing Adica's Fraud and Investigations strategy, while also managing and developing the Fraud Risk and Investigations team.
You will lead both internal and external fraud oversight and investigations, playing a critical role within the Risk & Governance team to promote a strong risk culture across the organisation.This opportunity will see you:Oversee and manage the end-to-end Adica insurance claim investigation process including evaluation, investigation and decision-making.Serve as the escalation point for complex issues and challenges related to both internal and external insurance claims and policy fraud.Identify and evaluate external fraud risks across the customer journey and insurance value chain.Develop and implement a strategic framework for the ongoing management of both internal and external fraud.Stay abreast of industry trends, regulatory changes and intelligence to adapt and enhance fraud prevention strategies.Collaborate with first line functions to ensure comprehensive capture and integration of fraud risks and controls within the risk management framework.Ensure compliance with external investigation standards, regulatory requirements and performance through effective quality assurance collaboration.Manage relationships with service providers involved in fraud-related activities.Prepare evidentiary briefs for consideration and potential prosecution by law enforcement.Promote a strong and resilient risk culture across all aspects of Adica's operation.Our office is based in Melbourne however we are open to remote WFH candidates from Sydney with occasional travel required to Melbourne.Your Skills & ExperienceIt will be essential for you to have:Minimum 3 Years experience in a similar role within a General Insurer specialising in Motor Insurance.5+ Years Experience in Law Enforcement (preferred but not essential).A bachelor's degree in Fraud Risk Management, Law, Criminology, Intelligence or a related field (preferred but not essential).Microsoft suite (Word, Excel & Outlook) – Intermediate.Able to analyse complex data through data warehouse tools such as Power BI.Strong interpersonal and communication skills with a pro-active approach to problem-solving and attention to detail.Ability to work autonomously and collaboratively.What We Offer At AdicaAt Adica we put people first, we strive to create a workplace where all employees feel supported and empowered.
We have a range of initiatives in place to support you and were recently certified as a Family Inclusive Workplace:A considerable discount on motor vehicle insurance for you and your family.14 weeks Paid Parental Leave for all parents + super payments for both paid and unpaid leave, up to 52 weeks.A Wellbeing Program for all staff.Events and initiatives to enjoy throughout the year.Reward and recognition programs including company-wide Excellence Awards.Access to an Employee Assistance Program 24 / 7, available for you and your family.Flexibility with work location – we offer hybrid working to work from home and in the office.Apply Now:If you're keen to join Adica and be a part of our team, please apply now making sure you provide a cover letter and CV.
We encourage you to apply for this position as soon as possible.We are passionate about building and maintaining a diverse and inclusive workforce.
Adica is an Equal Opportunity Employer, and we encourage applicants from all cultural backgrounds to apply, and we will provide a safe and supportive workplace for people with disabilities.#J-18808-Ljbffr
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