Fraud Investigator

You’re only human.   

It’s a strange thing to say, because us humans are capable of incredible things. And at Medibank, we know our greatest potential lies in the people who work with us.   

We strive to make real, fundamental change, driven by a simple purpose: to create the best health and wellbeing for all of Australia.  

The Opportunity

We are looking for an experienced Fraud Investigator to join us here at Medibank, in a newly created permanent position.

This role will be responsible for preparing mitigation recommendations across areas of complex fraud and will be responsible for the identification, review and assessment of genuine members, synthetic members and staff ensure compliance with our recognition criteria, Fund Rules and industry standards.

The focus of the role will be to continuously identify patterns and trends, provide and share insight with team and stakeholders to improve operations with focus on efficiencies and interpret industry best practise in fraud investigation to minimise future loss and mitigate business risk.

Day to day this role will see you: 

• Deciding if your day is best spent working from home or the office (we don’t go for mandated office attendance days here at Medibank but will see you come in for team meetings, offsites, etc).
• Undertaking intelligence led and data driven identification of irregular internal and external claiming and policy activity.
• Conducting objective, thorough, fair and unbiased investigations within set timeframes and adhering to the principles of natural justice and procedural fairness.
• Collating relevant, factual evidence to be used for the assessment of the investigation.
• Managing judicial process and outcomes, including referral of alleged fraud matters to the relevant authorities, under the guidance for the Medibank Police Referral Procedure.
• Proactively identify and act on continuous improvement opportunities in day to day activities and successfully collaborate with team members.
• Taking time out to recharge – you might hit the pavement for a walking meeting with a colleague, pop out to a lunchtime gym class or take a mid morning meditation break.  
• We also have huge focus on health and wellbeing, and expect you to have the same. For us, this means flexible work and continuous improvement to our ways of working. This team is currently trialling a 4 day work week which means putting tools down and using the extra time to focus on something to improve your personal health and wellbeing.

What do we need from you?

First and foremost, you’ll need to be passionate about fraud and have demonstrated experience working in the industry. You’ll be able to manage having multiple complex cases at any one time, and work autonomously in doing this (though there is lots of support from your team and Manager when you need it!). You will need to be a data driven and have a very keen eye for detail – accuracy and thoroughness are key. You’ll be a whizz at Excel, comfortable with interpreting and manipulating data as required and SaS or similar fraud analytics tools experience would be advantageous but is not essential.

Imagine working with us 

We understand that work means different things to everyone...  We know happy, healthy people make great teams, and great teams put more heart into each customer and patient interaction. And that’s why we’re reinventing work.    

Imagine a workplace where work didn't feel like work. A workplace where you could shape when and where you work to have more impact. Where flexible working isn’t a buzzword, it’s a reality.  

Imagine a workplace that helps you and your family thrive.  Where connection, personal development and health and wellbeing are front of mind. To learn more about our benefits go to https://careers.medibank.com.au/culture/rewards-benefits/

For you, work should help you Live Better. It should bring you fulfillment and joy. And with Medibank, it could. 

Inclusion and Accessibility  

We believe in everyone's potential and strive to make Medibank inclusive for all because different perspectives make us better. We encourage applications from everyone, including Aboriginal and Torres Strait Islander candidates, those with disabilities, and LGBTQIA+ community including transgender and gender diverse applicants. 

For any adjustments or alternative formats during the recruitment process, please contact us at careers@medibank.com.au. To learn about our commitments and employee experiences, go to https://careers.medibank.com.au/culture/diversity-inclusion/