Job Description

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 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.

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.

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)

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.