Funeral Insurance Fraud Prevention Manager
5 days ago
Company Overview
Rand Mutual Admin Services is a stable company with 130 years of experience.
Salary: R1,200,000 - R1,500,000 per annum
Job Description:
We are seeking a skilled Investigations Manager to proactively prevent and detect suspicious and fraudulent activities in the funeral space. The ideal candidate will have at least 15 years' investigations experience, with a minimum of 6 years in the insurance industry, and 3 years in a managerial position. A proven track record of identifying fraud trends and developing process improvements is essential.
Key Responsibilities:
- Assist the organisation in its considerations and decision-making regarding investigations through written submissions and presentations.
- Interpret policy and RMA decisions to stakeholders for effective communication.
- Represent RMA at various forums and interact with other stakeholders.
- Identify and report falsified claims to the legal department for recovery purposes.
- Develop and refine models to proactively identify suspicious/potential fraudulent claims.
- Provide statistical data on losses on a regular basis.
- Work with the team to review data and reports that have potentially fraudulent transactions and/or suspicious activity.
Requirements:
- Certified Commercial Forensic Practitioner (FP) SA (ICFP) member of the Association.
- Certified Fraud Examiner (ACFE).
- NQF Level 7: Bachelor's degree in Forensic Science or equivalent.
- Diploma in Criminal Justice & Forensic Investigations/Auditing.
- Proven track record with a minimum of 15 years' investigations experience.
- At least 6 years investigations experience in the insurance industry.
- Minimum 3 years in a managerial position in a fraud and forensic investigations role.
Benefits:
- A competitive salary package.
- Flexible work arrangements (combination of remote and in-office).
- A dedicated group of colleagues who value teamwork and collaboration.
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