Fraud & Investigations Specialist

2 weeks ago

Central Coast, 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.


#J-18808-Ljbffr

  • Fraud & Investigations Specialist

    2 weeks ago

    Central Coast Council, Australia icare NSW Full time

    OverviewJoin to apply for the Fraud & Investigations Specialist role at icare NSWPermanent 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 RoleThis role will support the Fraud Lead in the day-to-day management of allegations of...

  • Fraud Analyst

    2 weeks ago

    Central Coast, Australia beBeeInvestigation Full time $129,464

    Job Description:As a Fraud Investigations Specialist, you will support the day-to-day management of allegations of fraud against Workers Compensation schemes. This involves operationalising fraud-related policies and frameworks, and leading investigations to ensure business improvements.">Key Responsibilities:Manage allegations of fraud against Workers...

  • Investigator

    12 hours ago

    Sunshine Coast, Australia Youi Pty Ltd Full time

    **Think Youi** From Day One, Youi has set out to do things differently. Our company values are easy to explain - We are dynamic, human, honest and passionate about providing awesome service, whilst recognising our people and their achievements. These values drive our culture and success. We have now assembled an incredible team, work in a state-of-the-art...

  • Risk Management Specialist for Worker Safety

    2 weeks ago

    Central Coast, Australia beBeeFraud Full time $129,464 - $143,971

    Job OverviewThis role will support the comprehensive examination of allegations pertaining to fraudulent activities within Workers Compensation schemes and take a primary responsibility in assigned investigations that may not be fraud-related.The successful candidate will collaborate with key external stakeholders to effectively conclude fraud investigations...

  • Investigations Specialist

    2 weeks ago

    Sunshine Coast Regional District, Australia beBeeCompliance Full time

    Job DescriptionWe are seeking a highly skilled Compliance Investigations Officer to join our team. As a key member of our organization, you will be responsible for conducting investigations into potential breaches of legislation administered by our agency. This role requires strong analytical and problem-solving skills, as well as the ability to work...

  • Investigative Compliance Specialist

    2 weeks ago

    Gold Coast, Queensland, Australia beBeeCompliance Full time $100,000 - $130,000

    Key Outcomes/AccountabilitiesThe primary objectives of this role include:Conducting thorough investigations into alleged breaches of legislation related to the building and construction industry.Preparing investigation plans and managing high-volume caseloads.Utilizing best-practice investigative techniques, including evidence matrix formulation, witness...

  • Investigations Compliance Specialist

    1 week ago

    Gold Coast, Queensland, Australia beBeeCompliance Full time $90,000 - $120,000

    Key Responsibilities:The Investigations Officer is accountable for ensuring compliance with legislation. Key duties include:Implementing proactive strategies to prevent non-complianceContribute to the development, implementation and evaluation of pro-active strategiesUndertaking investigations into possible breaches of legislationMonitoring market activity...

  • Exceptional Customer Experience Specialist

    2 weeks ago

    Gold Coast, Queensland, Australia beBeeCustomerService Full time $68,757 - $87,951

    Customer Service Representative">Deliver exceptional customer service and play a key role in ensuring customer satisfaction through effective problem-solving and communication.This is an exciting opportunity to join a team of dedicated professionals passionate about delivering seamless customer experiences. As a Customer Service Representative, you will...

  • Technical Support Specialist

    1 week ago

    Central Coast, Australia beBeeSupport Full time $80,000 - $125,000

    We are seeking a dedicated individual to join our team as a Technical Support Specialist in the Frame and Truss department.This role is ideal for someone who enjoys working with customers, troubleshooting issues, and providing solutions. The successful candidate will have excellent communication skills, be able to work independently, and have a strong...

  • Customer Experience Specialist

    1 week ago

    Gold Coast, Queensland, Australia beBeeService Full time $45,000 - $50,000

    About a global leader in customer experience. We support 750+ leading brands by delivering seamless customer experiences.As a Customer Service Representative, you'll play a key role in ensuring customer satisfaction through effective problem-solving and communication.About the RoleHandle inbound calls and assist with general banking inquiries.Provide account...