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Senior Fraud Risk & Quality Specialist

Senior Fraud Risk & Quality Specialist

nibNZ
2 days ago
Job description

About nib | Ko Wai M ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ ātou

Here at nib, we pride ourselves on our innovative and passionate approach in offering Kiwis affordable, world-class health and life insurance. We believe in “challenging the status quo” and admire the diversity of thought and seek out people with an intrinsic need to make the world a better place.

Health and wellbeing go hand in hand with our ‘future state’ strategy. Ehara i te toa takitahi (success is not achieved alone) - you will be joining a collaborative, innovative and driven team with the following benefits :

  • Free health, life, income protection insurance + discounts for family
  • Join a supportive and dedicated team where you can develop and enhance your career
  • Hybrid work environment with the flexibility to work from home and the office
  • An exceptionally generous leave policy including 22 days annual leave, cultural leave, 18 weeks fully paid parental leave for all parents
  • Fitness incentives
  • Short term incentive programmes

About the role | He Aha Te Tūranga

We’re looking for a Senior Quality Analyst to lead the strategic detection, investigation and prevention of insurance fraud while ensuring quality assurance activities are delivered on time, every time.

What you’ll do

  • Own fraud strategy – Lead fraud investigations, set prevention frameworks and act as the escalation point for high-risk cases.
  • Deliver with precision – Oversee QA schedules and fraud pipelines to guarantee timely completion of all reviews and investigations.
  • Drive impact – Use outputs from advanced analytics and insights to identifed fraud, strengthen fraud controls and influence business decisions.
  • Mentor and lead – Coach junior analysts and build fraud awareness across frontline teams.
  • Collaborate for results – Work cross-functionally to enhance service quality and ensure compliance.
  • About you | Ko Wai Koe

    You are a strategic and experienced Senior Quality Analyst with a strong background in fraud investigation and a passion for storytelling through data.

  • Proven fraud expertise – Minimum 5+ years in fraud investigation and / or quality assurance within insurance or financial services.
  • Strategic and hands-on – Ability to lead complex fraud investigations while actively managing QA reviews.
  • Deadline-driven mindset – Strong capability to manage competing priorities and deliver fraud and QA activities on time.
  • Analytical and detail-oriented – Advanced knowledge of fraud detection methodologies, claims leakage prevention and compliance frameworks.
  • Leadership and mentoring – Experience coaching junior analysts and building fraud awareness across teams.
  • Influencing skills – Ability to present insights and recommendations to senior stakeholders and influence business decisions.
  • Technical proficiency – Skilled in data analysis and reporting tools (Excel, PowerPoint) for fraud and QA insights.
  • Industry knowledge – Solid understanding of insurance processes, risk management and regulatory obligations.
  • If you're ready to step into a role that will challenge and reward you daily and provide an opportunity to build on your career, then please apply today!

    We embrace an inclusive working environment. We are LGBTQIA+, disability and neurodiverse inclusive, and welcome people from diverse backgrounds aiming to create a work environment where employee differences such as age, culture, nationality, accessibility, and education are valued to reflect the diversity of the communities in which we operate.

    Our hybrid working model provides our employees with the flexibility to work from one of our office Hubs and from home based on what works best for them and their team. We make a commitment to come together with purpose and are excited to share moments that matter with one another.

    Our Hubs are purpose built to support focused work, connection, and collaboration with peers. We provide a new starter benefit as well as ongoing financial support to set up and maintain a functioning home workspace. At nib, we’re committed to creating a flexible working environment where you’re free to be you.

    All your information will be kept confidential according to EEO guidelines. Successful applicants will be required to complete a background check (including criminal history check) prior to commencement of employment .

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