Claims Investigator

QBE Insurance; Parramatta; Hybrid; AUD 90,000 - 130,000; Full time

Benefits offered by this job

Hybrid working

Wellbeing coaching

18 weeks gender-equal flexible leave

Job summary

QBE Insurance Group is seeking an experienced Investigator to join the Claims Fraud & Investigations team in a hybrid, permanent full-time role. You will manage a portfolio of investigations across motor and property claims, developing strategies and gathering evidence to support informed claim decisions.

You will work with internal teams and external providers, analysing information, tracking trends and maintaining thorough investigation files.

Qualifications

• Experience in general insurance claims or investigations.
• Certificate III in Investigative Services or equivalent qualification.
• Strong investigative and analytical capability to assess complex information.
• Ability to develop investigation strategies and obtain evidence.
• Excellent written and verbal communication for reports.
• Strong planning and case-management skills.
• Ability to work with Claims teams and external investigators.

Responsibilities

• Manage a portfolio of investigation referrals involving suspected fraud, non-genuine claims, non-disclosure and misrepresentation.
• Develop and execute proportionate investigation strategies in line with internal standards and privacy.
• Conduct investigations including interviews, desktop enquiries and evidence gathering.
• Analyse claim information to identify anomalies and indicators of fraud.
• Provide clear, evidence-based investigative advice to Claims teams.
• Instruct and manage external investigation and specialist providers.
• Collaborate with Claims, Fraud Analysts and stakeholders to address fraud risks.
• Maintain high-quality investigation files, reports and recommendations documenting findings.
• Contribute to process improvements for investigation controls and detection capability.
• Maintain knowledge of relevant legislative, regulatory, industry and privacy requirements.

Skills

Investigations

Analytical thinking

Stakeholder management

Interviewing skills

Written communication

Education

Certificate III in Investigative Services

Equivalent recognised investigative qualification

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.