Senior Fraud Claims Investigator

About us

At Auto & General (A&G), we provide smarter products and solutions to safeguard our customers in their time of need. Our range of general insurance products protect customers on the road, at home and on holiday with various Car, Motorcycle, Home, Contents, Pet and Travel Insurance products as well as Roadside Assistance.
 

Our culture of ‘high performance with high integrity’ underpins our values and the way we interact with our customers, the community and each other. 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.
 

The role

The Senior Fraud Investigator will be based in our Claims & Assessing – Technical Claims Division, reporting to the Team Leader of Claims Investigations. The role is primarily site based in our Kawana office and may require occasional travel between sites. Your main duties and responsibilities may include, but will not be limited to;
 

• Develop and undertake advanced interview and behavioural fraud investigation training for both the Fraud & Investigations Team and appropriate staff across Claims & Assessing.
• Conducts in-depth investigations of evidence and/or allegations of suspicious activity such as fraud or syndicates activities.
• Conducts virtual face-to-face interviews with customer, witness, or other parties.
• Investigates, complex suspicious claims or suspicious fraudulent insurance related activities covering all areas of the Claims & Assessing business.
• Acquires documentation or permission required to authorise investigatory activities; adheres to the scope and parameters set forth therein.
• Interviews and records statements of witnesses and suspects.
• Documents all investigative activities and prepares written reports of findings.
• Collaborates and coordinates with law enforcement officers and attorneys concerning investigative efforts.
• Maintains records, databases, logs, and other needed documentation related to fraudulent activity.
• May coordinate fraud detection and prevention activities and training, providing advice on methods and best practices.
• 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 deliver appropriate Fraud training programmes for all Claims & Assessing staff.
• Undertake open file reviews with the Fraud & Investigations Team, coaching and developing staff to optimise Fraud Investigation methodologies.
• Provide referral/ high level technical support on potentially Fraudulent claims across both Claims & Assessing and IDR prior to and post submission to FOS.
• 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.

What experience you’ll bring

• Certificate III Investigative Services highly regarded.
• Minimum 2 Years investigations experience within an insurance 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.

 Our perks

• 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.
• Perks App - Access to an employee benefits and discounts app called ‘Perks’ offering your great discounts, offers and programs across a range of areas.

If you are seeking a new challenge and would enjoy the opportunity to work in a growing and changing business, click on the APPLY NOW button and submit your application.
 

Auto & General values individual differences and believes in fostering an inclusive culture that creates a great place to work for all.
 

*A note from Auto & General to recruitment agencies: We politely ask that you avoid making any approaches or sending any unsolicited resumes to our Recruitment Team or Hiring Leaders across our business. Auto & General is not responsible for any fees related to unsolicited resumes.