About The Role This role is responsible for an impartial review of a claim and assess whether a specific cause exists to investigate the claim. The triage consultant will then determine the level of need for investigation and triage the claim to the relevant team.
This role will be based in Toowong with a potential requirement to travel to our North Lakes Office on a weekly basis.
Position Accountabilities Our desired candidate will assist in the following, however not limited to:
Review complex or suspicious cases and prepare intelligence briefings for use by Investigators at the commencement of their investigation. Carry out a full review on claims identified as fraudulent or non-genuine by carrying out the intelligence process. Conduct open-source intelligence queries on sourcing additional information via online tools. Liaise with internal and external stakeholders involved in the claim such as assessors, investigators, builders, third party drivers, relevant businesses, witnesses, other insurers and clients when reviewing the claim and consider privacy and legal requirements. Engage and liaise with external investigation services to access additional information. Make acceptance or rejection decisions for claims being retained within Claims Investigations Unit based on available intelligence and evidence and liaise with referring consultant to advise of outcomes. Provide reporting and guidance regarding referred claims to other C&A teams. Participate in behavioral fraud investigation training, as well as other up-skill sessions, and apply new techniques. Identify and raise potential risks or compliance issues to Management. Report fraud trends and patterns identified through referrals to the Intelligence Analysts. Report on the performance of the fraud typologies to the Intelligence Analysts to reduce false positives in claim referrals to the Claims Investigation Unit. Manage personal portfolio effectively and assist other team members when necessary. Maintain understanding of up-to-date industry trends in terms of fraudulent/ criminal activities and technological advances. Maintain sound knowledge of regulatory requirements, company processes, systems, products, and brands. Assist Head of Fraud and Claims Investigation, Claims Specialist or Manager, Risk Assessment Hub with additional projects or tasks. What experience you'll bring: Tertiary level qualification in intelligence, data analytics or justice studies, preferred. Experience in insurance and/or financial services. Previous experience in an investigations or intelligence role, highly regarded. Strong analytical skills. Excellent working knowledge of insurance legislation and processes. Excellent interpersonal skills, including written and verbal communication, with the ability to build client rapport. Excellent problem solving and decision-making skills. Excellent negotiation and conflict resolution skills. Strong computer and administration skills. Strong time management skills. Ability to work autonomously and build professional resilience. Well-developed and demonstrated understanding of the legislative, regulatory and compliance obligations to operate in the FSR environment. Our Perks Extra leave - Enjoy additional leave days on us! You'll receive a paid 'ME' day and one paid volunteer leave day annually. Team members can also purchase up to two additional weeks of leave per year. Paid parental leave - We support our new parents with paid parental leave and other benefits. Workplace giving - If you're passionate about a cause, then we are too – we offer workplace giving and we'll dollar match your donations to registered charities. Development opportunities - We're championing your development with internal programs and access to a wide range of online courses. Employee discounts - You'll receive discounts on Budget Direct insurance products. Reward and recognition - We reward high performance with employee recognition, reward and incentive schemes. Onsite facilities - There's excellent end-of-trip facilities on offer and private spaces for nursing mothers. Get social - Join our vibrant social and community activities including annual celebrations, family fun days and regular events across each of our sites. Perks App - Access to an employee benefits and discounts app called 'Perks' offering your great discounts, offers and programs across a range of areas. About us Auto & General (A&G) is the fastest-growing major Motor and Home insurer in Australia, providing insurance products and solutions to safeguard a brighter future for our customers and community.
Our range of general insurance products including Car, Motorcycle, Home, Contents Pet and Travel products are delivered through our multi-award-winning brand Budget Direct and partnerships with leading brands - ING, Qantas, Virgin Money and Coles Insurance.
We're excited about the future and we're always on the lookout for talented, passionate individuals who can help us achieve our goal of being Australia's best insurer! If this sounds like you, apply today.
Auto & General values individual differences and believes in fostering an inclusive culture that creates a great place to work for all. * A note from Auto & General to recruitment agencies: We politely ask that you avoid making any approaches or sending any unsolicited resumes to our Recruitment Team or Hiring Leaders across our business. Auto & General is not responsible for any fees related to unsolicited resumes.
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