Investigations Specialist, Claims Fraud (Hybrid)

QBE Insurance Group; Parramatta; Hybrid; AUD 70,000 - 110,000; Full time

Benefits offered by this job

Hybrid working

Wellbeing coaching & counselling

Gender-equal flexible leave

Job summary

QBE Insurance Group is seeking an experienced Investigator to join our Claims Fraud & Investigations team. You will manage a portfolio of investigations across motor and property, and coordinate with internal teams and external providers to support informed claim decisions.

You will develop and execute proportionate investigation strategies, gather evidence, interview customers, and produce clear, evidence-based reports for high-volume claims processing.

Qualifications

• Experience in general insurance claims, investigations or related field.
• Certificate III in Investigative Services or equivalent.
• Strong investigative/analytical capability to assess complex information.
• Ability to develop investigation strategies and obtain evidence.
• Strong interviewing/communication skills for sensitive interactions.
• Excellent written reports with clear, evidence-based findings.
• Strong planning and case-management skills for high-volume portfolios.
• Ability to collaborate with Claims teams, Fraud Analysts and external investigators.

Responsibilities

• 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 internal standards and privacy requirements.
• Conduct investigations including customer interviews, desktop enquiries and evidence gathering to establish relevant facts.
• Analyse claim information and evidence to identify anomalies and 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 to ensure cost-efficiency.
• Work collaboratively with Claims teams and stakeholders to identify emerging fraud risks and trends.
• Maintain high-quality investigation files, reports and documentation.

Skills

Investigations

Analytical thinking

Interviewing

Communication

Case management

Stakeholder management

Education

Certificate III in Investigative Services

Job description

QBE Insurance Group is seeking an experienced Investigator to join our Claims Fraud & Investigations team. You will manage a portfolio of investigations across motor and property, and coordinate with internal teams and external providers to support informed claim decisions.

You will develop and execute proportionate investigation strategies, gather evidence, interview customers, and produce clear, evidence-based reports for high-volume claims processing.