Insurance Investigation Manager

1 week ago

Brisbane, Queensland, Australia beBeeCoordinator Full time $90,000 - $115,000
Investigations Coordinator Role Overview

The Investigations Coordinator role involves managing and coordinating investigations into claims made to external firms. This position requires effective coordination, record-keeping, and communication skills to ensure thorough investigations are conducted in a timely and compliant manner.

Key Responsibilities:
  • Maintain accurate and detailed records of investigations, including relevant documents, interviews, and evidence collected.
  • Prepare comprehensive reports on findings and results.
  • Manage a portfolio of claims effectively and collaborate with team members as needed due to workload demands.
  • Engage with external investigation services to provide instructions and clarify information requirements during the investigation process.
  • Develop an Investigation Plan (as required) and seek approval from a designated team leader.
  • Conduct objective, fair, and timely investigations adhering to high standards of regulatory compliance.
  • Review complex or suspicious cases and prepare investigation plans to identify missing or inconsistent data, including investigating complex and suspicious claims or insurance-related activities.
  • Make informed decisions on claim acceptance or rejection based on solid evidence and communicate outcomes to customers.
  • Support potentially fraudulent claims escalated to customer dispute resolutions prior to and post submission to an Ombudsman service.
  • Conduct interviews with policyholders and other relevant stakeholders, recording statements as necessary and maintaining accurate records of all interactions.
Requirements:
  • Experience in Insurance Claims is highly desirable.
  • Excellent computer and administration skills are essential.
  • A working knowledge of insurance legislation and processes is mandatory.
  • Strong interpersonal skills, including written and verbal communication, are required to build client rapport, negotiate, and resolve conflicts effectively.
  • Excellent problem-solving and decision-making skills, along with time management abilities, are crucial for success in this role.
  • The ability to work autonomously and demonstrate professional resilience is also essential.
  • Previous experience conducting investigation interviews is highly regarded.
  • Ability to pass a national police check.
About Us:

We are a leading provider of insurance products and solutions dedicated to safeguarding our customers' futures through our multi-award-winning brand and partnerships with renowned brands.

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