Fraud Investigator

About The Role

This role is responsible for investigating, assessing, and finalising complex or suspicious claims to prevent and detect fraudulent insurance activities. The Fraud Investigator also provides specialist support and advice to other Claims & Assessing teams.

Position Accountabilities

• Develop an Investigation Plan (as required) and review and seek approval from Fraud Investigations Team leader.
• Perform objective, fair, and timely investigations and adhere to high standards of regulatory compliance.
• Review complex or suspicious cases and prepare investigation plans, including identifying missing or inconsistent data.
• Investigate complex and suspicious claims or insurance related activities by interviewing clients and sourcing additional information via online tools.
• Engage and liaise with external investigation services to access additional in...