Fraud & Investigations Specialist

2 weeks ago

Central Coast Council, Australia icare NSW Full time
Overview

Join to apply for the Fraud & Investigations Specialist role at icare NSW

Permanent opportunity as a Fraud & Investigations Specialist with icare. Hybrid working environment, with three days in Office. Offering competitive starting salary of $129,464.

About the Role

This role will support the Fraud Lead in the day-to-day management of allegations of fraud against the Workers Compensation schemes, support the operationalisation of icare's fraud-related policies and frameworks within Workers Compensation, and take a primary role in assigned investigations that may not be fraud-related.

Hybrid setup with three days in office: Gosford office, flexibility of working 2/3 days from other icare offices.

Duties
  • Support the Fraud & Compliance Manager and Fraud Lead to implement and maintain fraud and corruption controls within Workers Compensation
  • Ensure that suspected or actual reports of fraud are recorded in Risk Connect (or other appropriate tool as appropriate)
  • Review outcomes of investigations of fraud on Workers Compensation schemes, in accordance with any guidelines developed by Line 2 and internal team procedures
  • Support the operationalisation of icare's fraud-related policies and frameworks within Workers Compensation
  • Support the provision of training and guidance on fraud and corruption in accordance within Workers Compensation
  • Support reporting of information on external fraud to the WC Group Executive and SLT
  • Support the annual review of Claims Service Providers' Fraud Management Plans and testing results, including provision of feedback on areas for uplift/ improvement
  • Work with key external stakeholders, including Claims Service Providers, SIRA and NSW Police as appropriate, to successfully conclude fraud investigations and recommend appropriate business improvements
  • Take a lead role in managing assigned investigations that may not be fraud-related, but have a leakage component
Skills & Experience
  • Fraud management and identification roles within the financial services industry
  • Workers Compensation claims management - either directly or in supporting roles
  • Creation or adaptation of process guides and training materials, with business rollout is desirable
Culture

We know our strength comes from the diversity of our people and would encourage people with different experiences and backgrounds to apply. We are committed to our people's development so the people of NSW can thrive.

About the Company

We care for the people of NSW, building confidence and trust so our communities can thrive. We make the complex simple, to deliver better outcomes for those we serve. Whether a person is severely injured in the workplace or on our roads, icare supports their long-term care needs to improve quality of life, including helping people return to work.

Notes

If you are an employee of icare please apply via Hugo to submit your application. We want to support you with the next step in your career.

Please note that you must be an Australian citizen, permanent resident of Australia, New Zealand citizen with a current New Zealand passport or have unrestricted working rights to apply for this role.


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