Job details / Role purpose The Fraud Management Coordinator plays a critical role in safeguarding the business against fraudulent activities across the travel line of business. This role reports into the Investigations Team Lead and is responsible for managing investigations, and fraud identified cases on a daily basis across the Travel Claims and Medical Services portfolio for Australia & New Zealand. This role is the driving force for managing fraud, and for building a culture around fraud awareness.
Key Responsibilities:
Strategy & Process Development
Drive a Zero Tolerance fraud policy across the business
Develop and implement fraud prevention and detection strategies aligned with Allianz Partners' global standards
Identify and implement process improvements to enhance fraud detection and recovery outcomes
Ensure consistent interpretation and application of Fraud Management Functional Rules
Fraud Management
Manage fraud cases to reduce claim leakage and fraudulent payouts
Coordinate investigations and ensure timely closure of fraud files
Participate in the development of a fraud management framework and culture
Collaborate with legal teams and law enforcement on high-value or sensitive fraud cases
Operational Execution
Ensure timely triage and investigation of fraud alerts from various sources
Maintain and enforce Standard Operating Procedures (SOPs) for fraud referrals and investigations
Monitor and report on KPIs such as fraud referral rate, proven fraud rate, and investigation turnaround time
Leverage data analytics to identify fraud patterns and optimize detection rules
Training & Awareness
Train new hires and claims teams on fraud red flags and trends
Lead fraud awareness campaigns and maintain a regular training rhythm
Upskill fraud management teams on emerging fraud trends and tools
Problem Solving Skills
Demonstrated problem solving ability and decision making
Ability to think outside the square, apply practical learning in order to rectify issues or anticipate problems
Identify appropriate solution options and provide recommendation
Ability to build and manage effective projects, perform effectively within guidelines, make recommendations and decision making
Ensures problems are managed at the appropriate level and seeks to involve others in joint problem solving
Experience
Proven experience in fraud investigation or fraud management within insurance or related industries
Initiative and Motivation
Motivated self-starter that is proactive and confident
Demonstrated ability to work under pressure, with ability to achieve outcomes, prioritise work, meet deadlines, and be personally motivated and resilient
Ability to work autonomously, lead initiatives and drive delivery
Communication Skills
High level of written and verbal communication, and presentation skills
Ability to present to all levels of management and staff with a high level of detail
Capacity to influence and negotiate at all levels of management and staff
Analyses, interprets and disseminates information in a manner that is suitable for all employees and key stakeholders
Professional Skills
High level of professionalism, maturity and integrity in interactions
Demonstrated strong customer focus
Motivated to succeed in a challenging environment
Intermediate skill level computer literacy with Microsoft Office suite
Promotes an overall positive process improvement focus
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation. Join us. Let's care for tomorrow.