Fraud Investigator

2 days ago

Centurion, South Africa AVBOB Full time

You will be working for a company that is over 100 years old with strong values. In return for your services, you will be paid a competitive remuneration package. You will be working for an organization that values employee development and rewards excellent performance.

YOUR RESPONSIBILITIES WILL INCLUDE:
Exception Report Analysis & Investigations
- Analyse daily exception reports across multiple internal systems.
- Identify fraudulent or irregular transactions such as duplicate contact details, repeated policy cancellations, and suspicious payment activity.
- Investigate anomalies like tampered documents and forged paperwork.
- Communicate findings with District Managers, Broker Consultants, and Area Managers, ensuring timely follow-ups.

Fraud & Misrepresentation Detection
- Investigate repeated use of bank accounts or cellphone numbers across unrelated policies.
- Detect signs of policy churning, low-retention high-sales patterns, and irregular stop order cancellations.
- Verify employment and supporting documents for facility-based business to confirm legitimacy.

Reporting & Escalation
- Report validated fraudulent or suspicious transactions to relevant internal stakeholders.
- Escalate cases to Operations Support or Employee Relations for disciplinary consideration.
- Compile and submit monthly reports to monitor fraud trends.
- Maintain accurate and complete case files according to internal guidelines.

Regulatory Compliance & Oversight
- Confirm accreditation status of brokers and representatives, ensuring compliance with industry regulations.
- Track unusual shifts in broker/marketer business volumes to identify risks.
- Contribute to system improvements affecting fraud detection.
- Assist team members with system training or exception report guidance when needed.
- Matric (Grade 12) - Required
- FAIS-accredited qualification - Advantageous
- RE5 Regulatory Exam - Advantageous
- 2-3 years of experience in the insurance industry
- Strong administrative, investigative, and reporting capabilities
- Proficient in MS Office (Word, Excel, Outlook - Intermediate)
- Clear credit and criminal record

Equity Statement: We are committed to Employment Equity when recruiting internally and externally. It is company policy to promote from within wherever possible. “Preference will be given to suitably qualified individuals from previously disadvantaged groups in South Africa.”

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