Technical Specialist
6 days ago
Gallagher Bassett (GB) is Australia and New Zealand's premier third party claims administrator. We manage claims on behalf of insurers, brokers, government bodies and self-insured organisations. We are part of the leading global risk management and insurance group Arthur J Gallagher & Co.
Life at GB is an adventure - often fast paced, unpredictable, challenging and deeply rewarding. It is social and engaging, with our unique and positive culture underpinned by The Gallagher Way – values lived daily by our people.
We also offer supportive learning and career pathways and provide ongoing access to training and career development. We invest in our people through strong succession planning and have a number of mentoring and training programs available.
There are some great things happening at GB as we continue through a period of exciting period of transformation and change, including the establishment of fraud protection and management initiatives. And, we want YOU to be a part of it all
We are thrilled to announce the introduction of a newly created role, joining our dynamic Technical Support Team, who provide technical advice, coaching, as well as quality and capability uplift to our dedicated Claims teams. In the role of Technical Specialist - Fraud, you will be responsible for building fraud capability, overseeing decision-making logic, and supporting the implementation of our rules and reporting infrastructure.
Reporting to the Manager – Technical Support, this is a unique opportunity to utilise your experience in case management, and broaden your skillsets into fraud prevention.
Responsibilities
- Provide specialist support advice with Claims teams around the detection and management of fraudulent claims activity;
- Undertake human reviews of potentially fraudulent claims matters, and provide recommendations for further mitigation and management;
- Work collaboratively with broader business units, including the Fraud Lead around strategy and program initiatives;
- Report and communicate detail analysis of fraud findings and related scheme benefits to Senior Leadership and representatives of the Nominal Insurer;
- Identify trends and anomalies with a view to refine and enhance fraud flags within Workers Compensation data set;
- Work collaboratively with representatives of the Nominal Insurer to scale up fraud prevention program for wider scheme utilisation.
Qualifications
- Significant experience in technical or case management roles within a workers compensation setting. Exposure to fraud prevention and/or management would be highly regarded, although not essential;
- Excellent attention to detail;
- Exceptional time management and organisational skills;
- Highly-developed communication skills, with the ability to engage at all levels of organisation;
- A strategic mindset and approach to work;
- A strong sense of team and collaboration;
- A resilient attitude.
To be considered for this opportunity you must have a right to live and work in Australia when applying.
Unsolicited agency applicants will not be considered for this position.
Gallagher Bassett is an Equal Opportunity Employer and Indigenous Australian applicants are encouraged to apply. As a member of the Diversity Council Australia, we recognise the importance of, and embrace diversity in the workplace. We will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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