Claims Investigator

QBE Insurance; Melbourne; Hybrid; AUD 90,000 - 120,000; Full time

Benefits offered by this job

Hybrid working

Wellbeing coaching

Flexible parental leave (18 weeks)

Job summary

QBE Insurance Group is seeking an experienced Investigator to join the Claims Fraud & Investigations team. You will manage a portfolio of investigations involving suspected fraudulent or non-genuine motor and property claims, including cases of non-disclosure and misrepresentation.

Working with the National Manager and external providers, you will develop investigation strategies, gather evidence, conduct interviews, and provide clear, evidence-based advice to support informed claim decisions.

Qualifications

• Demonstrated experience in general insurance claims, investigations or related field.
• Strong investigative and analytical capability to assess complex information.
• Ability to develop investigation strategies and obtain evidence.
• Strong interviewing and communication skills for sensitive interactions.
• Excellent written reports documenting findings clearly.
• Planning and multi-case management across high-volume portfolios.

Responsibilities

• Manage a portfolio of investigation referrals involving suspected fraud and non-genuine claims.
• Develop and execute proportionate investigation strategies in line with internal standards and privacy requirements.
• Conduct investigations including interviews and evidence gathering to establish facts.
• Analyse claim information to identify anomalies and indicators of fraud.
• Provide clear, evidence-based investigative advice to Claims teams.
• Instruct and manage external investigation providers to ensure cost-efficient services.
• Collaborate with Claims, Fraud Analysts and stakeholders on fraud risk trends.
• Maintain high-quality investigation files, reports and recommendations.

Skills

Investigations

Analytical thinking

Interviews

Communication skills

Case management

Stakeholder collaboration

Education

Certificate III in Investigative Services

Job description

Location:Open to all east coast QBE office locations

Type: Permanent full-time opportunity

Hybrid role, happy to talk flexible working

January 2027 start date

The opportunity

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

You will manage a portfolio of investigations involving suspected fraudulent or non-genuine claims across Motor and Property, as well as matters involving non-disclosure, misrepresentation and policy-related concerns.

Working closely with the National Manager Claims Fraud & Investigations, Claims teams, Fraud Analysts and external investigation providers, you will develop and execute effective investigation strategies, gather and assess evidence, and provide clear investigative advice to support informed claim decisions.

About QBE

At QBE, we get to the heart of what matters for our customers. And we do it all with a human touch.

We’rean international insurer with more than 13,000 people working across 26 countries – which meanswe’rebig enough for your ambitions, yet small enough for you to make a real impact.It’san exciting time.We’rebuilding momentum towards our vision to become the most consistent and innovative risk partner.

What if you could have a positive impact – at work and in the world? As part of the QBE team,you’llget to spend every day working with people who are passionate,talentedand kind.

Your new role

Key responsibilities will include:

• Manage a portfolio of investigation referrals involving suspected fraud, non-genuine claims, non-disclosure, misrepresentation and other matters requiring investigation.
• Develop and execute proportionate investigation strategies in accordance with the General Insurance Code of Practice (GICOP), internal investigation standards and privacy requirements.
• Conduct investigations, including customer interviews, desktop enquiries and evidence gathering, to establish relevant facts and support informed claim decisions.
• Analyse claim information and evidence to identify anomalies, inconsistencies and potential indicators of fraud or misrepresentation.
• Provide clear, evidence-based investigative advice and recommendations to Claims teams.
• Instruct and manage external investigation and specialist service providers, ensuring services are appropriate, effective and cost-efficient.
• Work collaboratively with Claims, Fraud Analysts and other stakeholders to identify and respond to emerging fraud risks and trends.
• Maintain high-quality investigation files, reports and recommendations that clearly document investigative findings and evidence.
• Contribute to the continuous improvement of investigation processes, controls and fraud detection capability.
• Maintain knowledge of relevant legislative, regulatory, industry and privacy requirements affecting claims investigations.

About You

• Demonstrated experience in general insurance claims, investigations, law enforcement or a related investigative field.
• Certificate III in Investigative Services or an equivalent recognised investigative qualification.
• Strong investigative and analytical capability, with the ability to assess complex information and identify relevant evidentiary issues.
• Demonstrated ability to develop investigation strategies and determine the most appropriate methods of obtaining evidence.
• Strong interviewing and communication skills, including the ability to manage sensitive and complex customer interactions professionally.
• Excellent written communication skills, with the ability to produce clear, concise and evidence-based investigation reports.
• Strong planning and case-management skills, with the ability to manage competing priorities and a high-volume investigation portfolio.
• Ability to work collaboratively with Claims teams, Fraud Analysts, external investigators and other stakeholders.

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 support work/life balance
• Free holistic wellbeing coaching, nutritional support, confidential counselling, financial and legal advice
• 18 weeks' gender-equal flexible leave for all new parents, including paid superannuation

Awards & Recognition

We value our employees' experience with us and are proud to have been recognised through a range of industry awards and achievements, reflecting our commitment to inclusion, development and creating a workplace where people can thrive.

Successful applicants will need to complete work rights, police and credit checks through our online provider as a condition of employment

Your career. At the heart of it.

QBE recognises 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 ***********@qbe.com.