Fraud Investigations Specialist

2 weeks ago

Johannesburg, South Africa FirstRand Full time

Job Description

Dear Future, Fraud Investigations Specialist

The role requires you to investigate, detect occurrences, gather and supply comprehensive evidence pertaining to simple to complex fraud, criminal, and civil cases and implement preventative measures which ultimately minimize the FirstRand Group financial

Are you someone who can:

- Report on all investigations conducted and make recommendations relating to process and control changes to address loopholes identified, thus reducing fraud losses for FirstRand Group
- Develop, encourage and nurture collaborative relationships across area of specialisation
- Participate in planned activities that are appropriate for own development
- Display and encourage an appreciation of teamwork and inclusivity
- Compile reports that track progress and guide business to make informed decisions
- Manages risks in own area of responsibility
- Ensure development and continuous value add improvement to operational processes
- Build working relationships across teams and functional lines to enhance work delivery, collaboration and innovation
- Deliver customer experience excellence in own service delivery aligned to Organisational values and service standards
- Control expenditure and identify process improvements to contain and reduce costs
- Manage all risks through preventative and proactive risk measures outlined
- Comply with all standards and procedures outlined in the investigation’s governance process

Please take note this role is based in KZN

Fraud Investigation
- Investigate and gather complete and comprehensive evidence to validate a claim & establish criminal // civil liability if any and to manage risk, including internal staff. Make use of internal and external resources // experts (e.g. handwriting, cyber, fingerprint, criminal record centre) and field work. Obtain all evidence in a proper manner to ensure that it is admissible as evidence in a court of law. Desktop investigation and preparation of claims packs linked to policy abuse/multiple beneficiary list or normal referral. Referring these to Investigators where physicals are required. Minimizing complaints levelled against an investigator due to their investigations

Fraud Analysis
- Make use of various investigation methodologies to achieve the desired outcome e.g. XDS, IEC website, Social Media and others. Find ways of identifying hot spot areas, suspicious doctors, claimants, and informants. To monitor and detect suspicious policies by using analytics to achieve the objective and act proactively

Fraud Relationship
- Being involved in relevant fraud meetings internally and externally of the group e.g. Group Intelligence Committee, Banking Channels, SABRIC, Astute, Conferences, Home Affairs, Insurance Crime Bureau, SAPS, ACFE, Forensics Pathology Services etc. Sharing of this knowledge acquired with management and staff. Floor interaction with staff and other stake holders within the organization

Fraud Reporting
- Ensure reports/feedback is delivered according to required standards and instructions, which includes the Interpretation of management information to ensure service excellence, optimizing efficiencies and to manage risk effectively. Compile report/feedback on all findings and make a recommendation on a claim based on merits/evidence found during the verification process

Fraud Training and Development
- Newcomers in the claims or call centre environment should be taken for a session with Forensics. This session would encapsulate how to analyze documents, fraud trends etc. Feedback from staff and line management on presentations, case studies and floor assistance. Once a month check-in with staff. Individual coaching where necessary. Training of new investigators to ensure they understand how to do their work effectively without tarnishing the reputation of the company
- A Diploma, Degree or Certified Fraud Examiner
- 3 to 5 years experience in a similar environment, of which 1 to 2 years ideally at junior (entry level) management level
- Additional Knowledge - Experience in drafting investigation plan
- Ability to analyse allegations and follow a full investigation process
- Understanding of the banking system
- Experience in the financial industry or law enforcement
- Knowledge in drafting detailed reports
- Experience in criminal investigations in a forensic environment

You will have access to:

- Opportunities to network and collaborate
- A challenging working environment
- Opportunities to innovate

We can be a match if you are:

- Adaptable and curious
- Have a proven successful track record.
- Thrive in a collaborative environment

Are you interested to take the step? We look forward to engaging with you

Job Details

Application Closing Date

12/04/24

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