WorkCover fraud leads to five months imprisonment

Queensland Man Guilty of Significant WorkCover Fraud, Sentenced to Imprisonment

In a flagrant contravention of the workers’ compensation scheme’s integrity, a Queensland man found guilty of defrauding WorkCover Queensland of almost $78,000, has been sentenced to a five-month incarceration and ordered to reimburse the sum.

Judge-provided Rationale for Verdict and Sentence

Brisbane Magistrates Court Magistrate Joseph Pinder delivered this verdict in light of finding the defendant’s actions deliberately fraudulent and complex. The importance given to concepts such as work safety products, WHS management systems, SWMS, and policies only deepened the gravity of the violation.

The Code of Events

Initially injured at work in late April 2018, the defendant’s claim was accepted by the insurer on 28 May 2018. However, from 12 June 2018, he had the green light for suitable duties via a Bluesafe SWMS certification and began subsequent employment with a host employer in August that year, while his wages were paid by the insurance provider.

In February 2019, unaware to the insurer, the accused began working for another employer. In an elaborate ruse to keep his illicit activities under the radar, he had his wages deposited into his spouse’s bank account.

Following this, on three independent instances, the defendant duped the insurer with falsified timesheets allegedly signifying work done at the hosting employer. By false representations to a specialist consult in April 2019, he cunningly ensured the continuity of claims payments.

Around May 2019, despite having secure employment, the defendant claimed difficulty in finding work as he didn’t possess full clearance, causing further financial gain under false pretences.

The Aftermath and Consequences

The defendant received clearance for his pre-injury duties in July 2019. He then reported to the insurer of having secured employment, which he confirmed in October that year, following his claim closure. However, during his claim period, he failed to disclose his gainful employment to the assessing physician, even when seeking a permanent impairment assessment to obtain lump sum compensation.

This audacious act resulted in him earning over $48,000 from a concealed job within about five months during the statutory claim, amounting to a fraud total of $77,968.75.

According to arguments made by the Workers’ Compensation Regulator, the defendant’s motivations were purely financial. His deception spanning nearly a year was sophisticated and calculated, presenting falsified timesheets and routing payment to conceal his deceit. The Bluesafe WHS Management System seeks to prevent such infringements.

Magistrate Pinder took into account the early admission of guilt, no prior criminal history, and remorse from the defendant while delivering his sentence.

Quotes from Janene Hillhouse, Executive Director, Workers’ Compensation Regulatory Services

Reacting to this serious breach of trust and law, Executive Director Janene Hillhouse emphasised the readiness of Workers’ Compensation Regulatory Services to resort to legal action against those violating workers’ compensation laws, highlighting the functionality of frameworks like bluesafe SWMS. Citing prosecutions as significant deterrents to future violations, she stressed their necessity in preserving the workers’ compensation scheme’s integrity.

“Our primary aim is to maintain an equitable and efficient workers’ compensation scheme catering to both employees and employers,” she added.

Media contact: 0478 33 22 00 or

Original article link:

Shopping Cart