Fraud Triage Coordinator

WorkCover Queensland is entering an exciting new chapter, guided by a renewed strategic focus and strong executive leadership shaping our 2030 Strategy. We’re embarking on an enterprise-wide transformation to strengthen our impact and continue making a positive difference in people’s lives.

 

The Opportunity

Reporting to the Manager Fraud, this is a key role within our Risk division, responsible for the intake, triage and preliminary assessment of fraud notifications, regulatory offence matters and public interest disclosures.

As a Fraud Triage Coordinator, you will play a critical role in a fast-paced, high-volume environment, ensuring matters are assessed accurately against relevant multiple legislation, policies and prioritisation frameworks—supporting timely allocation for investigation, regulatory referral or appropriate resolution. 

In this role, you will:

• Receive and record fraud notifications, regulatory offence referrals and disclosures from internal and external sources
• Undertake risk-based assessments and triage matters, applying relevant legislation, policies and procedures to determine the appropriate pathway to action
• Allocate matters to investigators based on prioritisation and risk
• Maintain accurate records in line with recordkeeping, privacy and compliance requirements
• Escalate high-risk matters to the Senior Fraud Investigator or Manager
• Monitor intake workflows to ensure timely processing and adherence to key performance indicators
• Support reporting activities, including monitoring caseloads, data integrity and performance metrics
• Support compliance with regulatory reporting requirements, including file releases, evidence handling and documentation
• Assist with evidence gathering to support investigations
• Liaise with complainants, investigators, internal stakeholders and external agencies
• Manage sensitive and confidential information with discretion
• Deliver professional and timely customer service, while consistently demonstrating WorkCover values and adhering to policies and procedures

 

About You

You are a solution-focused, agile and highly organised professional with experience in triage, intake or assessment within a regulatory, compliance or investigative environment. You are confident working in a high-volume setting with multiple points of contact, applying sound judgement to assess risk and determine appropriate pathways and allocation.

You’ll bring:

• Experience in intake, triage or assessment of notifications, ideally in complex or sensitive environment
• Background in fraud, compliance, regulatory or investigative environments ideally government, insurance of financial services
• Strong judgement and confidence interpreting and applying multiple pieces of legislation, using a risk-based approach to decision-making
• Excellent organisational skills with the ability to manage competing priorities and high volume workflows
• A high level of attention to detail and commitment to accuracy and compliance
• Strong stakeholder engagement skills, with the ability to communicate diplomatically and work collaboratively across internal and external stakeholders
• The ability to handle sensitive information with integrity and discretion
• Experience within workers’ compensation, insurance or health services will be highly regarded

 

Why Join Us

Our vision is to be the best workers’ compensation insurer, making a positive difference to people’s lives and keeping Queenslanders working. At WorkCover, we deliver with heart, own our outcomes, work best together and stay open to what’s possible - and we’re looking for people who share these values

When you join us, you’ll benefit from:

• A purpose‑driven organisation where your work genuinely makes a positive impact on Queenslanders’ lives
• A collaborative and supportive team environment that values empathy, trust and working together
• Hybrid work arrangements that support flexibility and work–life balance
• Personalised learning and development opportunities to support your growth and career progression
• A holistic health and wellbeing program designed to support you both professionally and personally
• Industry‑competitive salaries
• A generous superannuation scheme, including co‑contribution
• Study assistance to support ongoing education and professional development

You can find out more about what it’s like to work with us by visiting Working at WorkCover Qld.  

 

How do I apply?

If this sounds like you, we’d love to hear from you. Applications close 28th May at 4:00pm.

We are committed to ensuring WorkCover reflects the diversity of the Queensland community. We welcome applications from First Nations peoples, members of the LGBTQIA+SB community, people of all ages, people who are neurodivergent, people with disability, and people from culturally and linguistically diverse backgrounds.

Acceptance of applications submitted after advertising closes is at the discretion of the selection panel.

To ensure you have the best and most inclusive experience, please let us know if you require any reasonable adjustments or accommodations to help you confidently showcase your skills and potential. You can contact us at recruitment@workcoverqld.com.au or let our recruitment team know during your conversation with them.

Pre-employment checks will be conducted on all prospective employees. This includes a Right to Work in Australia Check, Police Check, Education Check, Reference Check, and where appropriate a Visa Check. The information provided will be treated as confidential in accordance with the Information Privacy Act 2009 (Qld). All permanent appointments are subject to a probationary period in accordance with our policy.