JOB PURPOSE
Identify and prevent internal and external fraud within 1Life and recommend controls and actions to mitigate risks.
RESPONSIBILITIES
- 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 fraud 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.
- 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.
- Navigate a wide variety of processes, procedures and precedents.
- Research and develop new techniques to identify and prevent fraud.
- Support 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.
- 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 a focus on cost saving strategy implementation by implementing policy and claims decisions, savings and fraud.
- Prepare and coordinate the completion of various information and analytics reports.
- Prepare complex documents using a variety of computer applications such as Microsoft Office.
- Gather and summarize data for special reports.
- 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.
- Plan and implement actions to build team 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 organization on fraud detection and prevention techniques.
- Develop own capabilities through participation 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.
EDUCATION
- Grade 12 / SAQA Accredited Equivalent (Essential)
- BA, Bcom, LLB, Criminology or relevant qualification (Essential)
- Specialised training / certifications (Advantageous) - CFE accreditation
EXPERIENCE
- 3 or more years relevant Forensic / Financial / Auditing experience (Essential)
- Experience in the financial insurance industry (Advantageous)
ADDITIONAL INFORMATION
- SAQA Accredited Equivalent - it is the onus of the applicant to provide 1Life and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application.
- Financial Sector Conduct Authority (FSCA) competency requirements: FAIS recognised qualifications / Regulatory Examinations / Class of Business Certification and / or CPD according to your DOFA (where applicable).
As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times.
By applying for this role, you consent to having your relevant qualification and or accreditation or confirm that you are working towards meeting the competency requirements.
You further consent to the relevant information being verified.