Fraud & Investigations Specialist

10 hours ago

Wollongong, Australia iCare External Full time

**Sydney CBD, Open to other Office Locations**
- 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.

**Benefits**
- A corporate wellbeing program with subsidised gym membership, free flu vaccinations and health check programs
- Comprehensive learning and development support aligned to icare’s Core Capabilities.
- Our People Awards - On-the-spot Recognition, Quarterly Values Awards & Our People Annual Awards
- Access to our Employee Assistance Program

**Duties**

It’s an exciting time at icare where no two days are the same; as an Fraud & Investigations Specialist you will:

- 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.
- For more information about icare visit our website
- **icare operates a direct sourcing model so no agency introductions will be accepted**:

- We are a Circle Back Initiative Employer - we commit to respond to every applicant
- A talent pool may be created through this recruitment process.

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