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Fraud and compliance

The TAC is committed to protecting the funds and other assets placed under its control and protection for the benefit of the people of Victoria.  Fraud represents potential risks to these funds and assets.

The TAC will not tolerate fraudulent or corrupt activities against its interests and will vigorously pursue parties engaged in such practices or attempting to do so.  

Read the TAC Compliance and Enforcement Policy

How to make a report

Prosecutions

Fraud and the TAC

Fraud is dishonest activity or potential financial loss to the TAC  including theft of moneys or other property by employees or persons external to the TAC. This includes:

  •  the deliberate falsification, concealment or destruction of documentation
  •  falsified documentation used or intended for use for a normal business purpose
  •  the improper use of information or position.

The following are examples of fraudulent behaviour:

  • knowingly submitting a false claim 
  • providing false information 
  • working whilst on compensation benefits 
  • altering a medical certificate 
  • submitting false travel expense claims
  • claiming for services which were not given (service providers) and 
  • providing false invoices, medical certificates.

Actions that may be taken by the TAC

Following an investigation, the TAC may:

  • Commence criminal proceedings under relevant provisions of the TA Act or relevant criminal legislation
  • Issue a letter of caution to the person
  • Determine whether civil action should be taken to recover compensation amounts overpaid
  • Refer the matter to the Victoria Police, the Coroner, the Office of Public Prosecutions (OPP) or another body (including professional or trade regulatory bodies such as the Australian Health Practitioner Regulation Agency (AHPRA) and the Legal Services  Board) or
  • Take no further action.

Any employee found to have engaged in, or concealed any such behaviour, may be disciplined, and their employment may be terminated.

How to make a report

Should you wish to make a report of fraudulent behaviour or other breaches of the TAC legislation, please contact the TAC's Fraud and Compliance Group by emailing  Fraud_Compliance@tac.vic.gov.au or by calling 1800 332 556.

TAC billing review program

The TAC has a Billing Review Program to ensure that payments for services provided to TAC clients are reasonable and appropriate. For more information please refer to:

Prevention, Detecting and Investigating Fraud 2014/15

Aligned with TAC's fraud and corruption control framework we have continued to focus on reducing fraud across the scheme by delivering 'right time' and appropriate enforcement intervention during 2014/15. 

There were 15 prosecutions finalised through the Magistrates Court with a finding of guilty being recorded in each case. In 10 of those cases, a conviction was recorded and a total of $437,899 in restitution was awarded to the TAC. A further eight cases are currently before the court at various stages where TAC is alleging fraud against the scheme totalling $253,625. Consistent with management's strategy of delivering a proactive intervention capability to identify and respond to potential fraud risk in a more timely manner 55 warning letters for less significant breaches of the Transport Accident Act 1986 relating to fraud and providing false and misleading information were sent to clients and service/medical providers. In partnership with VicRoads we continued to develop and improve the behaviour and awareness of Victorian vehicle owners/operators/dealers in relation to registration and TAC Charges. These efforts in the past three years have resulted in the recovery of $816,629 in underpaid premium and an additional $1,389,783 each year in revenue.

We continue to refine and develop our analytics and intelligence capability with a particular focus on identifying outlier behaviour, potential fraud and claim anomalies. The ongoing development and refinement of this capability is designed to ensure the TAC has effective analytics programs to proactively identify, prevent, and investigate potential fraud and other inappropriate payments in a timely manner.

The Forensics Group has also continued its focus on payments made to medical and allied health providers. This collaborative effort with WorkSafe, undertakes periodic reviews aiming to identify inappropriate provider billing behaviour to ensure that payments made to providers are appropriate and made in line with the relevant TAC policies and fee schedules. Reviews were completed on 5,464 payments that were made to 144 providers across 766 claims. The reviews identified a range of issues which were addressed with the individual providers and also assisted the TAC to make adjustments and improvements to its internal processes and policies. The TAC received reimbursements of approximately $20,320 from providers for inappropriate billing with the main focus for the TAC continuing to be placed on influencing and maintaining a change in the providers behaviours.

Prosecutions

Date Defendant Court Judge/ Magistrate Result
18 May 2016 Sanjay I Heidelberg Magistrates’ Court sitting at Melbourne Magistrates’ Court Reynolds
  • Plea of guilty
  • With conviction
  • Restitution of $21,294.93
  • Costs of $2,200
  • 250 hours Community Corrections Order commencing 18/05/2016 for a period of 24 Months
  • Stay of 3 months
03 May 2016 Stacey E Ringwood Magistrates' Court Wighton
  • Plea of guilty
  • Without conviction
  • Restitution of $10,770.42
  • Fine of $1,000
  • Costs of $500
  • Stay of 3 months
28 Apr 2016 Adrian S Geelong Magistrates' Court John Lesser
  • Plea of guilty
  • Without conviction
  • Restitution of $1,959
  • Costs of $400
  • Fine of $2,000 with payment of $100 per month with the first payment to be made on 1 June and the first day of every month thereafter
  • Stay until 1 June 2016
26 Apr 2016 Ben M Benalla Magistrates' Court Grubissa
  • Plea of guilty
  • With conviction
  • Restitution of $20,757.60
  • Fine of $500
  • 100 hours Community Corrections Order over 12 months
  • Stay of 3 months
16 Mar 2016 Matthew G Ringwood Magistrates' Court White
  • Plea of not guilty
  • With conviction
  • Restitution of $86,174.56
  • Fine of $7,500
  • Costs to be agreed
  • Stay until 14 July 2016
25 Jan 2016 Shaun M Ararat Magistrates' Court Mithen
  • Plea of Guilty
  • With Conviction
  • Restitution of $10,310.40
  • Fine of $2,000
  • Stay of 3 months
07 Jan 2016 Kacey L Melbourne Magistrates' Court Martin
  • Plea of Guilty
  • With Conviction
  • Restitution of $10,650.30
  • Fine of $1,500
  • Statutory Costs of $117.00
  • (Stay of 3 months)
10 Dec 2015 Parminder M Dandenong Magistrates' Court O'Donnell
  • Plea of Guilty
  • Without conviction
  • Restitution of $15,142.63 (Stay until 07/05/2016)
  • Fine of $3,000 (Stay until 07/05/2016)
  • Costs of $500 (Stay until 07/05/2016)
07 Dec 2015 Mandeep L Werribee Magistrates' Court Fitzgerald
  • Plea of Guilty
  • Without Conviction
  • Restitution of $1,205.50 (Stay of 3 months)
  • Fine of $1,000 (Stay of 3 months)
04 Dec 2015 Matthew T Ballarat Magistrates' Court Reardon
  • Plea of Not Guity
  • With Conviction
  • Fine of $1,000 (Stay of 1 month)
  • Costs of $7,095.00 (Stay of 1 month)
04 Nov 2015 Michael V Sunshine Magistrates' Court Mile
  • Plea of guilty
  • With conviction
  • Fine of $3,000 (Stay of 3 months)
  • Costs of $3,740 (Stay of 3 months)
  • Compensation of $19,250 - to be repaid at $100.00 per month by the 3 February 2016.
27 Oct 2015 Arthur P Sunshine Magistrates' Court Pithouse
  • Plea of Guilty
  • With Conviction
  • Restitution of 12,842.32
  • Fine of $4,000 payable in two instalments of $2,000 by 27 November and 27 December 2015
  • Professional Costs of $500
12 Oct 2015 Vishal P Melbourne Magistrates' Court Robinson
  • Plea of guilty
  • Without Conviction
  • Restitution of $1,349.89
  • Fine of $500
  • Cost of $500
  • Stay until 9 January 2016
17 Sep 2015 Warren R Ringwood Magistrates' Court McNamara
  • Plea of guilty
  • With conviction
  • Restitution of $21,513.40 - payable $30 per fortnight commencing 30 September 2015
  • Fine of $500
  • Statutory costs of $117
06 Aug 2015 Elizabeth E Ringwood Magistrates' Court Sargent
  •  Plea of guilty
  • With Conviction
  • Restitution of $42,988.35
  • Community Corrections Order of 12 months with 100 hours to be completed
  • Accused to report to Ringwood Community Correctional Services by 10/08/2015
  • Professional Costs of $500.00
05 Aug 2015 Brian S Echuca Magistrates' Court Doherty
  • Plea of guilty
  • With conviction
  • Restitution of $70,939.63 
  • Community Corrections Order of 18 months with 300 hours to be completed
  • Accused to report to Bendigo Corrections by 07/08/2015
  • Professional costs of $1,500
15 Jul 2015 Shane S Heidelberg Magistrates' Court Wallington
  • Plea of Guilty
  • Without Conviction
  • 12 month adjourned undertaking of good behaviour 
  • Restitution of $5,803.50 to be paid by 11/09/2015 if not paid by due date, the accused is to be brought back to court to be re-sentenced.
10 Jun 2015 Nicholas B Moorabbin Magistrates' Court Martin
  • Plea of Guilty
  • With Conviction
  • Fine of $2,500
  • Legal Costs of $500.00
  • Statutory Costs of $113.90
  • Restitution of $2,103.90
  • Stay of 3 months
19 May 2015 Roberto F Ringwood Magistrates' Court Sargent
  • Plea of guilty
  • With Conviction – Aggregate term of imprisonment of 4 months wholly suspended for 12 months
  • Fine of $5,000
  • Restitution of $65,782.88
  • Legal Costs of $800
  • Statutory Costs of $113.90
  • Stay of 4 months
18 May 2015 Trent C Wangaratta Magistrates' Court Watkins
  • Plea of Guilty
  • With Conviction
  • Fine of $2,600
  • Restitution of $2,610 - payable in monthly instalments of $200 with the first instalment payable 15/06/2015
  • Statutory Costs of $113.90
14 May 2015 Matthew N Seymour Magistrates' Court
  • Plea of Guilty
  • Without conviction
  • 12 month Good Behaviour Bond
  • Restitution of $19,075.34
  • Fine of $1,000
  • Costs of $1,000 
13 Apr 2015 Jeffrey S Kyneton Magistrates' Court Holzer
  • Plea of guilty
  • With conviction
25 Mar 2015 Michael N Ringwood Magistrates' Court Sargent
  • Plea of Guilty
  • Without Conviction
  • Restitution of $21,685.92
  • Fine of $2,000
  • Legal Costs of $750
  • Statutory Cost of $113.90
  • Stay of 7 months
05 Mar 2015 Neil T Ringwood Magistrates' Court La Rosa
  • Plea of Guilty
  • With Conviction
  • Fine of $2,000
  • Restitution of $6,932.13
  • Professional Costs of $700
28 Jan 2015 John E Melbourne Magistrates' Court Rozencwajg
  • Plea of Guilty
  • Conviction of 9 months imprisonment wholly suspended for a period of 12 months 
  • Restitution of $229,546.49
  • Legal Costs of $1,000
12 Jan 2015 Shane C Melbourne Magistrates' Court Doherty
  • Plea of Guilty
  • Without conviction 
  • Restitution of $25,837.03
  • Fine of $2,000
  • Professional Costs of $500
26 Nov 2014 Frank P Melbourne Magistrates' Court Bourke
  • Plea of Guilty
  • Conviction 
  • Restitution of $6,916.16
  • Fine of $800
  • Professional Costs of $113.90
21 Nov 2014 Sherry M Melbourne Magistrates' Court Collins
  • Plea of Guilty
  • Conviction 
  • Restitution of $3,519.10
02 Oct 2014 Sathyajith L Frankston Magistrates' Court Smith
  • Plea of Guilty
  • Without Conviction 
  • Restitution of $13,788.03
  • Fine of $2,000
  • Professional Costs of $2,000
25 Sep 2014 Lucky Car Hire Pty Ltd Sunshine Magistrates' Court Myall
  • Pleas of Guilty
  • Conviction
  • Restitution of $27,027 (paid 25/09/2014)
  • Fine of $900
  • Professional Costs of $800
29 Jul 2014 Tony M Heidelberg Magistrates' Court Wallington
  • Plea of guilty
  • Without conviction
  • Restitution of $7,894.92 (paid 29/07/2014)
  • Fine of $1,500
  • Statutory Costs of $75.00 (with stay until 26/10/2014)
03 Jul 2014 Sofia A Broadmeadows Magistrates' Court Falla
  • Plea of guilty
  • Conviction
  • Restitution of $1,825.70
  • Community Corrections Order - 80 hours of unpaid community service
04 Jun 2014 Ercument G Broadmeadows Magistrates' Court Kumar
  • Plea of Guilty
  • Without conviction
  • Restitution of $27,124
  • Fine of $5,000
  • Professional Costs of $1,000
  • Stay to 30 November 2014
22 May 2014 Catherine O Ballarat Magistrates' Court Von Einem
  • Plea of Guilty
  • Conviction
  • Fine of $2,500
  • $500 Costs
  • Stay of 1 Month
22 May 2014 David Mc Ballarat Magistrates' Court Von Einem
  • Plea of Guilty
  • Conviction
  • 2 year Good Behaviour Bond
  • $500 Costs
03 Mar 2014 Ngamoana P Melbourne Magistrates' Court Holzer
  • Plea of Guilty
  • Without conviction
  • Fine of $4,000
  • Payment of professional costs of $900
  • Payment of statutory costs of $110.40
  • Compensation of $24,777.33
  • Stay to 2 June 2014
20 Feb 2014 Graham C Mildura Magistrates' Court Stuthridge
  • Plea of Guilty
  • With conviction, adjourned to 18 February 2016 on undertaking of good behaviour 
  • Compensation of $21,671.56 payable to TAC 
  • Order to pay Professional Costs of $2,000 
  • Stay to 20 May 2014
03 Dec 2013 Metropolitan Express Transport Services Pty Ltd Melbourne Magistrates' Court Schultz
  • Plea of Guilty to 1 charge
  • Conviction
  • $500 fine
  • $73.20 in costs
  • Stay of 30 days
29 Nov 2013 Craig N Melbourne County Court HH Saccardo
  • Plea of Guilty
  • Conviction
  • 24 months imprisonment on the charge of obtaining financial advantage by deception
  • 18 months imprisonment on the charge of attempting to pervert the course of justice
  • The judge ordered that the first 6 months of count 2 to be served cumulatively with the total effective sentence of 30 months which is wholly suspended for a period of 3 years
  • Compensation order to the TAC of $70,815.20