Senior Claims Investigator

4 days ago


Melbourne, Victoria, Australia State Government of Victoria, Australia Full time

Overview of the Role

Scheme Integrity Investigations

The Senior Claims Investigator has a vital role in conducting investigations into alleged contraventions of the Workplace Injury Rehabilitation and Compensation Act 2013 (WIRC Act) by injured workers, employers, and service or health providers. The complexity of individual cases may vary, and Investigators work closely with Senior Investigators and Team Leaders to make recommendations on appropriate actions at key decision-making points in the investigative process.

  • $112,402.00 per annum + 11.5% superannuation
  • Full time, fixed term opportunity until 31/03/2026
  • Geelong or Melbourne based role (hybrid – 3 days a week in office)
Key Responsibilities
  • Plan and conduct fraud and employer non-compliance assessments and investigations into alleged contraventions of the Workers Injury Rehabilitation and Compensation Act 2013 by injured workers, employers, and service or health providers
  • Undertake assessments and investigations within specified timeframes in accordance with divisional performance measures
  • Use coercive powers to obtain evidence, obtain witness statements, conduct analysis, and make recommendations at key decision-making points
  • Review claim records and claims manual material to inform decision making in accordance with relevant legislation
  • Conduct recorded interviews with investigation subjects under formal caution
  • Prepare quality written reports in support of investigation outcomes
  • Compile briefs of evidence to the criminal standard for legal review
  • Work closely with WorkSafe's lawyers regarding investigation outcomes and prosecutions
  • Provide evidence in court as a witness and Informant

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