Claims Investigator

Primary Details

Time Type: Full time

Worker Type: Employee

Please see more information about QBE careers here

Careers- Hybrid- Permanent full-time role- Location Open to all QBE Offices Nationally (preference Perth)

The opportunity

This is a rare and exciting opportunity for an experienced Investigator to join our Claims Fraud Investigations team.

You will be responsible for managing a portfolio of investigations into suspected non genuine or fraudulent claims (motor and property), non-disclosure/misrepresentation and policy breaches. This role will work closely with the National Investigations Manager and the Fraud Analysts to reduce QBE’s fraud exposure across claims.

Your new role

A day in the role may look a bit like this:
- Analysing suspected fraudulent and non-genuine general insurance (GI) and people risk claims- Manage a high volume of investigation referrals compliant to ICA Code of Conduct, best practice guides, customer service protocols, and Privacy requirements- Manage and perform investigations including interviews into suspected non genuine or fraudulent claims, non-disclosure/misrepresentation and policy breaches focusing on best practice, and collection of evidence to derive claim outcomes- Instruct and manage external investigative service providers to ensure effective cost and efficient services are provided- Provide strategic investigative advice to claims- Interpret data and detect instances of fraud and factual anomalies in a timely manner- Implementing the appropriate action to combat fraud/high risk exposure- Contribute to the refinement of processes and procedures to improve fraud analysis and procedures- Ability to adapt to legislative and industry changes- Excellent planning and time management skills with the ability to meet competing priorities

About you- Extensive claims management experience in the general insurance area- Law enforcement or Insurance Investigation experience highly regarded- Strong analytical focus and attention to detail- Strong time management and ability to manage high work volumes and case loads- Ability to strategize investigations and evidence collection to enable claim decisions and outcomes

About QBE

We can never really predict what’s around the corner, but at QBE we’re asking the right questions to enable a more resilient future - helping those around us build strength and embrace change to their advantage.

We’re an international insurer that’s building momentum towards realising our vision of becoming the most consistent and innovative risk partner.

And our people will be at the centre of our success. We’re proud to work together, and encourage each other enable resilience for our customers, our environment, our economies and our communities.

With more than more than 11,000 people working across 27 countries, we’re big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate and kind.

We believe this is our moment - what if it was yours too?

Careers

Benefits

We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to and benefit from:
- ‘Hybrid Working’ - a mix of working from home and in the office to enhance your work/life balance- Life Leave, supporting the life events we all experience, leaving your annual leave for rest- 18 weeks’ gender-equal flexible leave for all new parents, including paid supe- Income protection insurance & reimbursed Death and Total Permanent Disability insurance premiums- A range of discounts on insurance products, car hire, hotels, goods and services

Rewards & Recognition

We value our employee’s experience with us and are proud to have been recognised for the following awards:- 2023 Most Inclusive Workplace at the Australian HR Institute (AHRI) Awards- 2021 LinkedIn Top Employer & HRD Employer of Choice- 2020 Best Workplace Diversity & Inclusion and Excellence Award for Best Health & Wellbeing at the Australian HR Awards- Platinum employer on the Australian Workplace Equality Index (AWEI) - the definitive national benchmark on LGBTQI+ workplace inclusion- Ranked in the top ten in the AAGE Top Graduate Employers 2025 for medium sized program as voted by graduates- Family Friendly Workplace accredited employer since 2021

QBE recognise the value of diverse perspectives and experience. We are committed to an inclusive workplace where everyone feels valued and respected for who they are. If we can provide support with access requirements, alternative work arrangements or you would like to connect with one of our networks please contact us at

Skills:
Analytical Thinking, Communication, Criminal Investigations, Critical Thinking, Customer Service, Detail-Oriented, Fraud Management, Insurance Claims Processing, Intentional collaboration, Law Enforcement, Managing performance, Quality Management, Risk Management, Sound Judgment, Stakeholder Managemen