Forensic Auditor at 1 Life Insurance

JOB PURPOSE

• Identify and prevent internal and external fraud within 1Life and recommend controls and actions to mitigate risks.

RESPONSIBILITIES

Fraud Management

• Deliver fraud prevention reporting and analysis for a designated area, using financial crime/fraud prevention systems to mitigate losses.
• Apply techniques such as Fraud Detection, Syndicate identification, fingerprint analysis, handwriting analysis and voice analysis to identify and prevent fraud on a daily basis. Gather evidence during the prevention and detection of frau internally and externally.
• Conduct interviews with all parties involved during fraud investigations. Present evidence to law enforcement agencies in securing a conviction. Explore issues or needs, establishing potential causes and barriers as well as related issues.
• Investigate questions relating to existing programs, processes and procedures.

Fraud Analysis

• Conduct research using primary data sources and select information needed for the analysis of key themes and trends.
• Identify and verify the validity of relevant documentation during investigations in the prevention and detection of fraud.
• Develop innovative solutions by integrating and analyzing complex and diverse information sources. Interpret data and identify possible answers. Involves navigating a wide variety of processes, procedures and precedents. Research and develop new techniques to identify and prevent fraud.

Stakeholder Engagement

• Responsibilities could include supporting internal and external stakeholders and manage internal and external relationships. Liaise with role players in law enforcement and intelligence agencies and assist with preparing cases for prosecution.

Recommendations

• Recommend changes to policies, processes, standards and practices that would improve operational support.
• Write and compile reports for various stakeholders containing recommendations for decision makers in the business. Identify system and internal control weaknesses and recommend counter measures.
• Ensure that there is a focus on cost saving strategy implementation by implementing policy and claims decisions, savings and fraud.

Insights and Reporting

• Prepare and coordinate the completion of various information and analytics reports.
• Prepare complex documents using a variety of computer applications such as
• Microsoft Office. Also responsible for gathering and summarizing data for special reports.

Operational Compliance

• Maintain and renew a deep knowledge and understanding of the organization's policies and procedures and of relevant regulatory codes and codes of conduct, and ensure own work adheres to required standards.
• Identify, within the team, patterns of non-compliance with the organization's policies and procedures, and with relevant regulatory codes and codes of conduct, taking appropriate action to report and resolve these and escalating issues as appropriate.

Organizational Capability Building

• Use the organization's formal development framework to identify the team's individual development needs. Plan and implement actions to build their capabilities. Provide training or coaching to others throughout the organization in own area of expertise to enable others to improve performance and fulfill personal potential.
• Liaise with team members and provide training to new team members and other departments within the organisation on fraud detection and prevention techniques.

Personal Capability Building

• Develop own capabilities by participating in assessment and development planning activities as well as formal and informal training and coaching; gain or maintain external professional accreditation where relevant to improve performance and fulfill personal potential. Maintain an in-depth understanding of technology, external regulation, and industry best practices through ongoing education, attending conferences, and reading specialist media.

Job Requirements
EDUCATION

• Grade 12/SAQA Accredited Equivalent (Essential)
• Bcom, LLB, BA Criminology or relevant qualification (Essential)
• Specialised training/certifications (Advantageous)
• CFE accreditation (Advantageous)

EXPERIENCE

• 3 or more years relevant Forensic/ Financial/ Auditing experience (Essential)
• Experience in the financial insurance industry (Advantageous)