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Government Agency Fraud Examiner

2 weeks ago

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

Job Description

Investigations and Intelligence

We are seeking a skilled Government Agency Fraud Examiner to join our team. As a key member of our Scheme Integrity Investigations unit, you will be responsible for conducting investigations into alleged contraventions of the Workplace Injury Rehabilitation and Compensation Act 2013 (WIRC Act). This includes investigating allegations of fraud against the WorkCover scheme and providing expert advice to stakeholders on compliance matters.

  • 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