Investigations Lead

3 days ago

Melbourne, Victoria, Australia Fuse Recruitment Full time

Company Overview

Fuse Recruitment is seeking an experienced Investigations Coordinator to enhance our client's focus on Fraud Risk in this newly created role. As a key member of the team, you will manage a portfolio of investigated insurance claims, adhering to policies and processes. You will gather evidence, conduct interviews, and review documents to validate the circumstances of a claim.

Key Responsibilities:

  • Manage a portfolio of investigated claims per policies and procedures.
  • Conduct recorded interviews, perform searches, request documents, and assess claim legitimacy.
  • Review reports, analyze findings, and ensure compliance with regulations.
  • Direct external investigators and assess their findings.
  • Prepare reports with recommendations for claim acceptance or denial.
  • Handle customer inquiries with professionalism and empathy.

Required Skills and Qualifications:

  • Intermediate to Advanced insurance knowledge specifically within Investigations.
  • Investigations qualifications (highly desired).
  • Proficiency in insurance policy and claims systems.
  • Intermediate Microsoft Office skills (Word, Excel, Outlook).
  • Strong knowledge of motor vehicle fraud risks, insurance investigations, and the General Insurance Code of Practice and Insurance Contract Act.
  • Excellent interpersonal, communication, and problem-solving skills with attention to detail.
  • Ability to work autonomously and collaboratively.

Benefits:

  • A competitive salary commensurate with experience.
  • A hybrid working pattern, allowing for flexibility between office and remote work.
  • A considerable discount on motor vehicle insurance.
  • Opportunities to participate in events and initiatives throughout the year.

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