Forensic Auditor - Eastern Cape at 1 Life Insurance

RESPONSIBILITIES

Fraud Management

• Deliver comprehensive fraud‑prevention reporting and analysis for the assigned area by leveraging financial crime and fraud‑prevention systems to reduce losses. Apply investigative techniques—including fraud detection, syndicate identification, fingerprint analysis, handwriting analysis, and voice analysis—to proactively identify and prevent fraudulent activity on a daily basis. Collect and document evidence related to both internal and external fraud, and conduct interviews with all involved parties during investigations. Present substantiated evidence to law‑enforcement authorities to support successful prosecutions. Examine issues or operational needs by identifying root causes, barriers, and related factors, and investigate queries linked to existing programs, processes, and procedures.

Fraud Analysis

• Conduct research using primary data sources and extract the information required to analyse key themes and emerging trends. Verify the authenticity and relevance of documentation during fraud‑prevention and detection investigations. Develop innovative solutions by integrating and analysing complex, diverse data sources, and interpret findings to identify potential answers. Navigate a broad range of processes, procedures, and precedents to support effective decision‑making. Continuously research and develop new techniques to enhance the identification and prevention of fraud.

Stakeholder Engagement

• Responsibilities may include supporting both internal and external stakeholders and managing these relationships effectively. Engage and collaborate with law‑enforcement and intelligence agencies and assist in preparing cases for prosecution.

Recommendations

• Recommend enhancements to policies, processes, standards, and practices to strengthen operational support. Prepare and compile reports for various stakeholders, providing well‑founded recommendations to assist business decision‑makers. Identify weaknesses in systems and internal controls and propose effective countermeasures. Ensure ongoing focus on cost‑saving initiatives by implementing policy‑ and claims‑related decisions that drive reductions in losses and fraud.

Insights and Reporting

• Prepare and coordinate the delivery of various information and analytical reports. Produce complex documents using a range of applications, including Microsoft Office. Additionally, gather, analyse, and summarise data for inclusion in specialised reports.

Operational Compliance

• Maintain and continuously update a comprehensive understanding of the organization’s policies, procedures, and applicable regulatory codes and codes of conduct, ensuring all work complies with required standards. Monitor the team for patterns of non‑compliance with internal policies and regulatory obligations, take appropriate action to report and address these issues, and escalate matters when necessary.

Requirements

General Education

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

General Experience

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