JOB  DETAILS

Position Accountabilities

• Review complex or suspicious cases and prepare intelligence briefings for use by Investigators at the commencement of their investigation.
• Carry out a full review on claims identified as fraudulent or non-genuine by carrying out the intelligence process.
• Conducting open-source intelligence queries on sourcing additional information via online tools.
• Assist with the development & testing of new fraud prevention systems and software (internally & externally).
• Liaise with internal and external stakeholders involved in the claim such as assessors, investigators, builders, third party drivers, relevant businesses, witnesses, other insurers and clients when reviewing the claim and consider privacy and legal requirements.
• Engage and liaise with external investigation services to access additional information.
• Provide guidance regarding referred claims to other C&A teams.
• Identifying and raising potential risks or compliance issues to Management.
• Maintain understanding of up-to-date industry trends in terms of fraudulent/ criminal activities and technological advances.
• 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;

• Tertiary level qualification in intelligence, data analytics or justice studies, preferred.
• Experience in insurance and/or financial services is desirable
• Previous experience in an investigations or intelligence role, highly regarded.
• Strong analytical and decision-making skills.
• Excellent interpersonal skills, including written and verbal communication, with the ability to build client rapport.
• Excellent negotiation and conflict resolution skills.
• Strong computer and administration skills.
• Ability to work autonomously and build professional resilience.
• Well-developed and demonstrated understanding of the legislative, regulatory and compliance obligations to operate in the FSR environment.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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