Investigator: Insurance
7 days ago
**Job Classification**
- Job Family- Risk, Audit and Compliance
- Career Stream- Forensics
- Leadership Pipeline- Manage Self: Professional
- FAIS Affected**Job Purpose**
- To conduct insurance investigations at Nedbank Insurance by following forensic and relevant methodologies to mitigate fraud and reputational risk and criminal liability and ensure regulatory requirements in Nedbank, including subsidiaries are met.**Responsibilities**:
- Build, manage and maintain stakeholder relationships through face-to-face interaction and networking.
- Attend industry and professional forums, sharing best practice, creating synergies and collaborative professional relationships.
- Request assistance from, and consult with, internal and external sources to obtain expert opinion and evidence.
- Interact with and keep stakeholders updated on progress of ad hoc requests and/or investigations, as well as when case is closed.
- Present investigation findings in a formal report to relevant stakeholders for implementation of recommendations and actions required.
- Conduct investigations against Nedbank staff, draft reports and recommend potential solutions, process changes and/or raise awareness of modus operandi to business.
- Alert and liaise with relevant investigation units and/or product owners through formal interaction.
- Update case management system with findings and recommendations to ensure reporting to the relevant enterprise risk committee takes place.
- Follow interviewing processes and relevant investigation methodologies, update processes and where relevant, escalate to chief risk officer and relevant stakeholders.
- Conduct root cause analysis of staff investigations and/or claims to identify gaps in processes to make recommendations.
- Analyse information and compile formal report containing recommended actions and solutions.
- Alert and/or liaise with other banks or relevant institutions regarding possible fraudulent activities and events.
- Utilise and access various resources to conduct investigations and/or ad hoc requests to report fraudulent and/or inappropriate activities.
- Prepare files by scanning evidence for future reference and safekeeping.
- Improve personal capability and stay abreast of developments in field of expertise.
- Ensure all personal development plan activities are completed within specified timeframe and as per agreement with management.
- Share knowledge of trends and identified fraud risks with team and stakeholders during formal and informal interaction.
- Provide input and support for buy-in, and recommend the development of new and/or enhanced processes that will improve the functioning of stakeholders' businesses.
- Participate in Nedbank culture building initiatives and corporate social responsibility initiatives.
- Identify opportunities to influence the improvement or enhancement of business processes and methodologies.
- Capture time to ensure billable hours are accounted for and costs are recovered.
**People Specification**
- Essential Qualifications - NQF Level- Diploma/Degree- Preferred Qualification- Diploma: Criminal Justice and Forensic Auditing- Essential Certifications- Preferred Certifications- CFE- ICFP- Minimum Experience Level- Minimum 5 years experience in insurance environment and/or conducting investigations**Technical / Professional Knowledge**
- Ethics and Fraud
- Fraud investigation methodology
- Governance, Risk and Controls
- Relevant Nedbank product knowledge
- Relevant regulatory knowledge
- Relevant software and systems knowledge
- Business writing skills
- Relevant regulatory, compliance and risk legislation
- Behavioural Competencies- Communication
- Continuous Learning
- Customer Focus
- Decision Making
- Managing Work
- Quality Orientation
- **_Please contact the Nedbank Recruiting Team at
+27 860 555 566
_
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