Job Detail

Job Purpose:

• The Counter Fraud Officer 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 investigative methodologies, legislation and company policies while delivering 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.

Key responsibilities:

• Undertaking fraud investigations of cases reported to the Group Forensics Services from various sources including whistleblowing hotline, customer escalations, letters to management, Internal Audits, direct tip offs, inter alia.
• Evaluate potential fraud indicators and the impact of current fraud trends and make recommendations as to appropriate mitigation.
• Preparing and undertaking field assignments to obtain relevant evidence and information.
• 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. 
• Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed against the organization.
• Preparing forensic reports based on evidence gathered from the various sources of information.
• Participate in formulating and implementing a comprehensive Fraud Risk Management framework within the Retail Segment.  
• Reporting fraud cases to IRA or Police to facilitate prosecution of agents, staff or other Britam stakeholders involved in fraudulent business practices and adducing evidence in a court of law.
• Maintaining a database of cases received and periodically 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.

Key Performance Measures:
As described in your Personal Score Card

• A degree from a recognized university.
• 2-4 years’ experience in criminal or administrative investigations; preferably in the insurance industry.
• Strong investigative, analytical, and report-writing skills.
• Attention to detail with the ability to sift out relevant information from different sources.
• Certified Fraud Examiner is an added advantage.
• Knowledge of business operations, fraud investigations, and 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.

Leadership category responsibility framework (Core Competencies):
Emerging Leaders in Britam need to:

• Plan, direct and apply efficiencies and resources in order to optimize output and profitability against time, cost and team targets.
• Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation.
• Ensure that department priorities are adhered to and effectively communicated.
• Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate.
• Embody a high performance, proactive culture.
• Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimize operational effectiveness.
• Effectively communicate resource needs, possible opportunities and achievements to management in order to aid them in their decision-making.
• Effectively set and monitor priorities and objectives for more junior staff.
• Understand and communicate objectives in relation to the larger organizational impact.
• Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
• Appropriately model the company values while setting the pace and energy for delivering.
• Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
• Provide access to accurate and consistent information and services across all channels.
• Ensure a seamless experience for clients.
• Improve service delivery for clients.
• Engage in continuous brand building to become the trusted partners to clients.