Fraud Management Coordinator

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We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

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Job details / Role purpose

The Fraud Management Coordinator plays a critical role in safeguarding the business against fraudulent activities across the travel line of business. This role reports into the Investigations Team Lead and is responsible for managing investigations, and fraud identified cases on a daily basis across the Travel Claims and Medical Services portfolio for Australia & New Zealand. This role is the driving force for managing fraud, and for building a culture around fraud awareness.

Key Responsibilities:

Strategy & Process Development

• Drive a Zero Tolerance fraud policy across the business
• Develop and implement fraud prevention and detection strategies aligned with Allianz Partners' global standards
• Identify and implement process improvements to enhance fraud detection and recovery outcomes
• Ensure consistent interpretation and application of Fraud Management Functional Rules

Fraud Management

• Manage fraud cases to reduce claim leakage and fraudulent payouts
• Coordinate investigations and ensure timely closure of fraud files
• Participate in the development of a fraud management framework and culture
• Collaborate with legal teams and law enforcement on high-value or sensitive fraud cases

Operational Execution

• Ensure timely triage and investigation of fraud alerts from various sources
• Maintain and enforce Standard Operating Procedures (SOPs) for fraud referrals and investigations
• Monitor and report on KPIs such as fraud referral rate, proven fraud rate, and investigation turnaround time
• Leverage data analytics to identify fraud patterns and optimize detection rules

Training & Awareness

• Train new hires and claims teams on fraud red flags and trends
• Lead fraud awareness campaigns and maintain a regular training rhythm
• Upskill fraud management teams on emerging fraud trends and tools

Problem Solving Skills

• Demonstrated problem solving ability and decision making
• Ability to think outside the square, apply practical learning in order to rectify issues or anticipate problems
• Identify appropriate solution options and provide recommendation
• Ability to build and manage effective projects, perform effectively within guidelines, make recommendations and decision making
• Ensures problems are managed at the appropriate level and seeks to involve others in joint problem solving

Experience

• Proven experience in fraud investigation or fraud management within insurance or related industries

Initiative and Motivation

• Motivated self-starter that is proactive and confident
• Demonstrated ability to work under pressure, with ability to achieve outcomes, prioritise work, meet deadlines, and be personally motivated and resilient
• Ability to work autonomously, lead initiatives and drive delivery

Communication Skills

• High level of written and verbal communication, and presentation skills
• Ability to present to all levels of management and staff with a high level of detail
• Capacity to influence and negotiate at all levels of management and staff
• Analyses, interprets and disseminates information in a manner that is suitable for all employees and key stakeholders

Professional Skills

• High level of professionalism, maturity and integrity in interactions
• Demonstrated strong customer focus
• Motivated to succeed in a challenging environment
• Intermediate skill level computer literacy with Microsoft Office suite
• Promotes an overall positive process improvement focus

76055 | Finance & Accounting | Professional | PG10 | Allianz Partners | Full-Time | Permanent