Counter Fraud Specialist – (2500004K)
Job Purpose and Key responsibilities
Job Purpose:
The Counter Fraud Specialist is responsible for all facets of fraud prevention, detection, investigation and remediation within the Britam. The jobholder is responsible for investigations into allegations of fraud, in accordance with key legislation and company policies, and deliver proactive counter fraud reviews in relation to the adequacy and effectiveness of internal controls and their ability to prevent, detect and deter
fraud. Investigations and reviews assigned will be in complex and/or medium risk areas.
CFS’s will be required to provide support and advice to managers on the most efficient ways of pursuing investigations and implementing recommendations
Key responsibilities:
- Undertaking fraud investigations of cases reported to the Group Forensics team from various sources including whistleblowing hotline, customer escalations, letters to Management, Internal Audits, direct tip offs etc.
- Evaluate potential fraud indicators and the impact of current fraud trends and make
recommendations as to appropriate mitigation.
- Conducting investigations into allegations of fraud, waste or abuse committed against the Organization.
- Preparing and coordinating field assignments to obtain relevant evidence and information.
- Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed against the Organization.
- Participate in formulating and implementing a comprehensive Fraud Risk Management framework within the Corporate Segment.
- Applying theories, concepts and approaches relevant to administrative investigations.
- Applying various research methodologies and sources as required in investigations, including using electronic sources on the Internet, intranet and other databases.
- Reporting fraud cases to IRA or Police to facilitate prosecution of agents, staff or other Britam stakeholders involved in fraudulent business practices and giving evidence in Court.
- Maintaining a database of cases received and regularly and assist in preparation of Management, Board and other relevant reports and statistics as required.
- Propose, discuss and agree recommendations to improve control weaknesses identified during investigations and regularly follow up for their implementation.
- Managing and strengthening bonds with law enforcement agencies and other Industry & non-industry players to enhance co-operation on mutually beneficial information, fraud investigations, asset tracing & recovery etc.
- Conducting anti-fraud awareness training to various stakeholders.
Knowledge, experience and qualifications required
Knowledge, experience and qualifications required:
- A degree from a recognized university.
- Certified Fraud Examiner (or equivalent).
- 4 years’ experience in criminal or administrative investigations; preferably in the insurance industry.
- Knowledge of business operations, fraud investigations, prosecution process including preparation of evidence.
- Knowledge of theories, concepts and approaches relevant to criminal and administrative
investigations.
- Knowledge of various research methodologies and sources, including electronic sources on the Internet, intranet and other databases.
Technical/ Functional competencies:
- Knowledge of insurance regulatory requirements.
- Knowledge of insurance products.
- Sales and marketing management skills.
