Investigation Manager

2 weeks ago

Johannesburg, South Africa Network Contracting Full time

As an Investigations Manager, you will manage, coach, and develop a team of Investigation Officers who must conduct assessments and technically oversee all cases, ensuring cases are progressed in a timely manner and providing case direction to ensure that the principles of Fraud and Risk Management Strategy are appropriately applied to each matter. Identify fraud trends and continuously develop process improvements and mitigation controls to support the Group Business. Proactively engage with key stakeholders both internally and externally to gather intelligence and create and develop relationships with key organisations.

**Minimum Requirements**
- NQF Level 7: Bachelors degree in Forensic Science or equivalent
- Certified Fraud Examiner
- Proven track record with a minimum of 12 years' investigations experience in the insurance industry
- Minimum 7 years in a managerial position (3-5 years of which should have been in fraud and forensic investigations)
- Computer literacy: Advanced MS Word, Excel and Outlook
- Good presentation skills and ability to interact with stakeholders at all levels
- Experience in medical fraud would be advantageous
- Managerial and Financial Management skills

**WHAT YOU WILL DO.**

**Oversee the Investigations Function**
- Successfully lead a team of Investigation Officers by providing quality regulatory technical expertise, case direction and excellent operational management to ensure assurance procedures, file and document reviews etc.
- Maintains an overview of all cases within the team to provide expert technical guidance and case direction and ensure the work is always of high quality and that there is a consistent, timely approach taken with each case.
- Responsible and accountable for high-quality and timely case progression within the team.
- Provides regular case updates/reviews to senior managers and key stakeholders, especially in relation to high profile and sensitive matters.
- Positively and proactively contributes as part of the Investigation leadership team in implementing changes and improvements as appropriate.
- Ensure that reports and documentation are produced to the highest standards, which will stand up to the scrutiny of the Section 91 Tribunal and Courts - supporting and coaching Investigation Officers as required.
- Effectively manage and motivates the team/individuals by providing clear communication, robustly managing performance/providing timely constructive feedback (regular reviews) and supporting/coaching individuals to improve and fully engage in their own development and learning.
- Work collaboratively across the Group and demonstrate a positive and proactive approach to achieving organisational objectives, including providing expertise and taking responsibility for leading on projects and priorities.
- investigations are outcomes-focussed, timely and a risk-based approach is developed and executed for each investigation
- Interpret policy and decisions to stakeholders for effective communication
- Represent the company at various forums and interact with other stakeholders
- Identify and report falsified claims to the Legal Operations for recovery purposes
- Develop and refine models to pro-actively identify suspicious\potential fraudulent claims including but not limited to:

- Historical Claims Analysis
- Trend Analysis
- Background checks
- Identify fraud trends by analysing data and industry alerts
- Identify suspicious activity and work with appropriate teams to investigate and thwart the activity
- Provide statistical data on losses on a regular basis
- Develop processes and procedures to prevent or minimise claims fraud losses
- Ensure Service Level Agreement and turnaround times of external service
- providers and internal investigators are adhered to

**Risk Management**
- Identify key risk indicators and establish mitigating controls
- Ensure that expenditure is incurred within the limits of the sanctioned budget
- Ensure that new risks are identified, reported to risk for monitoring and that mitigating controls are implemented

**Cost Management**
- Manage costs associated with investigation assignments

**People**
- Set staff performance targets and expectations, ensuring that the targets and expectations are achieved through regular monitoring and management
- Identify training requirements for staff, through effective staff management and assist them in meeting their training requirements
- Ensure ongoing transfer of specialised skills and multiskilling of the team aligned to the growth of the business.
- Responsible for ongoing development and support of your team, including identifying training needs, developing and deliverer of training to the team on relevant topics to support high quality and timely case progression.

**Reporting**
- Compile monthly reports, as well as ad hoc reports, that meet regulatory reporting requirements requested by stakeholders (internal and external)
- Use appropriate templates and channels to repo

  • Investigator Manager

    2 days ago

    Johannesburg, Gauteng, South Africa Nedbank Full time

    Job OverviewWe are seeking a skilled Investigator Manager to lead our team of investigators and specialists in delivering forensic and fraud risk services. As a key member of the Nedbank Group Financial Crime and Forensic Services (GFCFS) team, you will be responsible for managing and leading investigations to mitigate fraud and reputational risk.The ideal...

  • Investigations Manager

    2 weeks ago

    Johannesburg, South Africa Anglo American Full time

    Company Description - Underpinned by our Values and our Code of Conduct, Anglo American promotes an inclusive and diverse environment where every colleague is valued and respected for who they are and has the opportunity to fulfil their potential. Anglo American aims to ensure that all colleagues are treated, and treat others, with care and respect and as...

  • Investigations Management Position

    6 days ago

    Johannesburg, Gauteng, South Africa Headhunters Full time

    About the TeamThe Investigations Management Position involves leading a team of investigators to drive results and maintain quality standards within the claims investigation process. The ideal candidate will have a strong background in investigations and leadership, with the ability to motivate and inspire team members.Key ResponsibilitiesLead a team of...

  • Compliance Manager

    1 week ago

    Johannesburg, South Africa Puma Energy Full time

    Main Purpose: Plan and execute investigations into possible violations of the Puma Energy Code of Business Conduct, company policies and processes, and relevant laws, including evidence gathering and analysis, conducting interviews and writing high quality reports for an audience of leaders in the organization up to and including the Executive Committee....

  • Investigator

    4 weeks ago

    Johannesburg, Gauteng, South Africa Bidvest Protea Coin Full time

    The suitable candidates main responsibilities and duties include, but are not limited to, the following: Managing and Investigation of crime incidentsHandling of informers and intelligenceManagement of Informer RewardsEnsure that court procedures are fulfilledLiaise with HR department concerning disciplinary enquiries to ensure fulfillment thereofLiaise with...

  • Senior Manager: Investigations

    3 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring your possibility to life! Define your career with us - With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job Summary To...

  • Senior Investigation Manager

    4 days ago

    Johannesburg, Gauteng, South Africa Headhunters Full time

    Job DescriptionWe are seeking an experienced Senior Claims Manager to lead a team of claims investigators in the Financial Services industry. This is a challenging opportunity that requires strong leadership skills, technical expertise, and excellent communication abilities.ResponsibilitiesTechnical expert whose primary focus is driving a team of desktop...

  • Investigation Lead

    20 hours ago

    Johannesburg, Gauteng, South Africa Hollard Full time

    Hollard Life Solutions is seeking a skilled Investigation Lead to join our Operations Office in the Financial Crime Risk Management area.The ideal candidate will have a strong background in financial crime investigation and risk management, with excellent analytical and communication skills.Key Responsibilities:To deliver effective and efficient financial...

  • Senior Investigator

    3 weeks ago

    Johannesburg, South Africa IntelliStaff Full time

    Our client in the security industry is urgently looking to employ a Senior Investigator at their organization Location: Woodmead, Gauteng Job Description:To plan, implement, co-ordinate, control and maintain a professional investigation service to safeguard, investigate the theft of, and recover assets and information of Combined Private Investigations and...

  • Investigations Specialist

    2 weeks ago

    Johannesburg, South Africa De Beers Group of Companies Full time

    Company Description - Underpinned by our Values and our Code of Conduct, Anglo American promotes an inclusive and diverse environment where every colleague is valued and respected for who they are and has the opportunity to fulfil their potential. Anglo American aims to ensure that all colleagues are treated, and treat others, with care and respect and as...

  • Investigations Lead

    6 days ago

    Johannesburg, Gauteng, South Africa Energy at Work Projects Full time

    Job OverviewWe are seeking an Investigations Lead to join our team at Energy at Work Projects. The successful candidate will be responsible for leading financial crime investigations and providing expertise in financial crime risk management.ResponsibilitiesLeading financial crime investigations and providing expert advice.Developing and implementing...

  • Manager: Transactional Investigations

    2 days ago

    Johannesburg, Gauteng, South Africa Nedbank Full time

    REQ: 138669Closing Date: 7 April 2025Job FamilyRisk, Audit and ComplianceManage OthersJob PurposeTo manage and lead a team of investigators and specialists to deliver forensic and fraud risk services to mitigate fraud and reputational risk; criminal liability and to ensure regulatory compliance.Job ResponsibilitiesBuild and maintain relationships with key...

  • Specialist Investigator

    2 weeks ago

    Johannesburg, South Africa Nedbank Full time

    Requisition Details & Talent Acquisition Contact- 118978 - Debbie Fuyani**Cluster** - Nedbank Group Risk- Location- JHB - Sandown- Career Stream- Forensics - Leadership Pipeline- Manage Self: Professional **Position** - Specialist Investigator**Job Purpose** - To conduct complex and high-profile investigations by following forensic and relevant...

  • Investigations Manager/specialist Temp

    2 weeks ago

    Johannesburg, South Africa Boardroom Appointments Full time

    **Key purpose**: The role of the Investigations Manager is to provide management support to the Ethics and Compliance function in the investigation of reported non-compliances (including any unethical or illegal conduct) reported to our company via the Ethics Line or through any other source. **Duties and responsibilities**: - Management of...

  • Specialist Investigator

    1 week ago

    Johannesburg, South Africa Nedbank Full time

    **Requisition Details & Talent Acquisition Consultant** - REQ 136707 Thembi Mtshali- Location: Johannesburg- Closing date: 11 November 2024- Job Family- Risk, Audit and Compliance - Career Stream- Forensics - Leadership Pipeline- Manage Self: Professional - FAIS Affected**Job Purpose** - To conduct complex and high-profile investigations by following...

  • Forensic Investigator

    2 weeks ago

    Johannesburg, South Africa Santam Full time

    What will you do? The main responsibility for this position will be to conduct investigations into the various forms of insurance crime and unethical conduct affecting the short-term insurance industry. **The successful applicant must be able to**: Conduct interviews and compile statements Collect, document and analyse relevant evidence Draft concise and...

  • Fraud Investigations Manager

    2 weeks ago

    Johannesburg, South Africa FirstRand Full time

    Job Description To develop and implement fraud detection and prevention strategies and practices by using fraud trend insights within the fraud community to effectively and proactively detect fraud incidents Manage team resources by providing clarity and direction in the interpretation of fraud prevention and detection practices to reduce further losses -...

  • Investigator Professional

    2 days ago

    Johannesburg, Gauteng, South Africa CAP Security Full time

    Job SummaryWe are seeking a skilled Field Collection Officer to join our team at CAP Security. As a key member of our investigative team, you will be responsible for conducting thorough investigations into incidents from beginning to end. Your expertise in gathering and analyzing evidence will play a crucial role in ensuring that all aspects of each case are...

  • Fraud Investigator

    2 weeks ago

    Johannesburg, South Africa FirstRand Full time

    Job Description Dear Future, Fraud Administrator The role requires you to collate, gather and supply compelling and comprehensive evidence pertaining to fraud, criminal, and civil cases in order to support efforts to secure prosecution and conviction and ultimately minimize the Banks financial losses Based on investigations conducted the role is expected...

  • Internal Control Investigator

    1 week ago

    Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: **Purpose and Scope of the Job**: The incumbent will be responsible for the investigation of fraud and will form part of the PPS Short Term Insurance Investigations Team with sound knowledge of Life Insurance, Internal Control/Forensics area. The incumbent will report to the Technical Operations Manager in the STI Business. **Minimum...