Job Title

Select how often (in days) to receive an alert:Its 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.The OpportunityWere looking for aproactive and innovative Fraud Investigatorto join our Payment Integrity team at Medibank. This is a unique opportunity to drive meaningful change by identifying fraud risks, investigating suspected cases, and designing containment and mitigation strategies that protect our customers and our business.As a Fraud Investigator, youll play a key role in identifying and assessing suspected fraudulent behaviour across policy and claims. Youll work autonomously to lead investigations, provide actionable insights, and collaborate with stakeholders to implement strategies that reduce risk and improve operational resilience.Youll be part of a team that values flexibility, wellbeing, and continuous improvement. Were currently trialling a 4-day work week, giving you more time to focus on personal health and development.What Youll Be DoingChoosing where you work best (home or office) with no mandated in-office days (though we do come together for team meetings and offsites).Using data-driven and intelligence-led approaches to detect irregular internal and external claiming and policy activity.Conducting thorough, fair, and unbiased investigations within set timeframes, adhering to principles of natural justice.Gathering and analysing evidence to support assessments and outcomes.Managing judicial processes, including referrals to relevant authorities under Medibanks relevant Policies and Procedures.Collaborating with stakeholders to share insights and drive continuous improvement.Designing and recommending mitigation strategies to prevent future fraud and reduce business risk.What We Need From YouA genuine passion for fraud prevention and financial crime.Proven experience in fraud investigation, ideally within health, insurance, banking, or government sectors.Strong analytical skills and attention to detail - youre confident working with data and spotting unique patterns.Proficiency in Excel; experience with SAS or similar analytics tools is a plus.Ability to manage multiple complex cases independently and drive outcomes with minimal supervision.A strategic mindset - youre not just solving problems, youre preventing them.A career with usAt Medibank, we believe work is something we do, not somewhere we go. Our modes of working Collaboration, Connection and Concentration help inform how your day is structured and where you choose to work will vary, depending on your role and requirements.The wellbeing of our employees is our priority. We encourage you to talk to us about any additional support you may require during the recruitment process, as well as how this role can be flexible for you. We encourage applications from candidates with a disability, if you require any adjustments or alternate formats of key information at any stage of the recruitment process, we welcome hearing from you via careers@medibank.com.au or(03) 8622 5666.We offer a range of great benefits, rewards and discounts, and health and wellbeing initiatives. To find out more, clickhere .To start small and impact bigger.Job Segment: Criminal Investigator, Investigation, Fraud Prevention, Insurance Fraud, Claims, Security, Legal, InsuranceCopyright @2024 Medibank Private Limited. All rights reserved. ABN 47 080 890 259. #J-18808-Ljbffr