Senior Fraud Claims Investigator

The Senior Fraud Claims investigator will be the subject matter expert based in Claims and Assessing undertaking consultative and claims case investigative work on fraud prevention, detection, and investigation. May also be utilized in terms of expertise across the wider Auto & General business. Position Accountabilities Conducts in-depth investigations of evidence and/or allegations of suspicious activity such as fraud or syndicates activities. Conduct virtual face-to-face interviews with customer, witness, or other parties. Investigate complex suspicious claims or suspicious fraudulent insurance related activities covering all areas of the Claims & Assessing business. Acquires documentation or permission required to authorize investigatory activities; adheres to the scope and parameters set forth therein. Collaborates and coordinates with law enforcement officers and attorneys concerning investigative efforts. Managing all aspects of the claims investigation relating to suspicious claims including providing reports and guidance to other instructed experts such as building assessors and loss adjusters. Develop and undertake advanced interview and behavioral fraud investigation training for both the Fraud Team and appropriate staff across Claims & Assessing. Develop and deliver appropriate Fraud training programmes for all Claims & Assessing staff. Undertake open file reviews with the Fraud & Investigations Team, coaching and developing staff to optimize Fraud Investigation methodologies. Completing targeted Closed File Review Programmes, with a focus on Fraud to ensuring that suggestions for improvement are closely aligned to process improvement and training/ development plans. Develop a clear understanding of Industry trends and opportunities both in terms of fraudulent/ criminal activity and technological advances to ensure that Auto & General remain aware of and engaged in early business opportunities. Maintain sound knowledge of Regulatory requirements, company processes, systems, products, and brands. Assist Head of Fraud and Claims Investigation, Claims Specialist or Manager, Risk Assessment Hub with additional projects or tasks. Required Experience Certificate III Investigative Services highly regarded. 2-5 Years investigations experience within a financial sector. High performing individual with strong integrity and target driven. A thorough knowledge of evidence collection and expertise in pursuing lines of enquiry within the Insurance Industry. Understanding of the Insurance Contracts Act, Criminal Law, disclosure, non-disclosure, and materiality. Strong Verbal and written communication skills Extensive Insurance Fraud Investigative Experience. Extensive Knowledge of Internal systems, Databases, and Investigative Tools. Benefits Location – This role will be based in Kawana. Extra leave - Enjoy additional leave days on us You’ll receive a paid ‘ME’ day and one paid volunteer leave day annually. Team members can also purchase up to two additional weeks of leave per year. Paid parental leave - We support our new parents with paid parental leave and other benefits. Workplace giving - If you’re passionate about a cause, then we are too – we offer workplace giving and we’ll dollar match your donations to registered charities. Development opportunities - We’re championing your development with internal programs and access to a wide range of online courses. Employee discounts - You’ll receive discounts on Budget Direct insurance products. Reward and recognition - We reward high performance with employee recognition, reward and incentive schemes. Onsite facilities - There’s excellent end-of-trip facilities on offer and private spaces for nursing mothers. Get social - Join our vibrant social and community activities including annual celebrations, family fun days and regular events across each of our sites. About us Auto & General (A&G) is the fastest-growing major Motor and Home insurer in Australia, providing insurance products and solutions to safeguard a brighter future for our customers and community. Our range of general insurance products including Car, Motorcycle, Home, Contents Pet and Travel products are delivered through our multi-award-winning brand Budget Direct and partnerships with leading brands - ING, Qantas, Virgin Money and Coles Insurance. We’re excited about the future and we’re always on the lookout for talented, passionate individuals who can help us achieve our goal of being Australia’s best insurer If this sounds like you, apply today. Auto & General values individual differences and believes in fostering an inclusive culture that creates a great place to work for all. #J-18808-Ljbffr