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Forensics Officer – Analytics & Investigation Job APA Insurance
Finance Jobs. APA Insurance Jobs
Key Primary Responsibilities
- Implement the Fraud/ Bribery & Corruption/ Whistleblowing Framework across the Group
- Implement the Fraud/ Bribery & Corruption/ Whistleblowing policies and procedures across the Group
- Implement a Fraud Management Plan
- Develop and implement preventive, detective and investigative methodologies for different types of Fraud/Financial Crimes
- Remain current with new trends in Fraud/ Financial Crimes and shares insight/ research/ knowledge on a periodic basis
- Undertake Fraud Risk Assessments to strengthen mitigation measures
- Manage the Forensic investigation process ensuring that quality, efficiency, completeness and accuracy of investigations are maintained
- Develop and implement Automated Fraud Decisioning Models, data analytics and root cause analysis
- Monitor fraud indicators across core systems (claims, payroll, procurement) • Update fraud database, case logs and prepare monthly statistical reports.
- Prepare and review forensic investigative reports prior to submission to relevant stakeholders and ensure that the reporting protocols are observed
- Carry out data analytics and use technology to develop preventive fraud controls and review of data for patterns of fraud and anomalies.
Other Responsibilities
- Conduct Anti-Fraud Training and Awareness Campaigns to staff members and stakeholders
- Liaise with clients, in-house counsel, external legal teams, witnesses, other experts, police, criminal prosecutors and regulatory enforcers
- Share knowledge, networks and collaborates with Internal Audit on findings
- Discuss and obtain input/ agreement/ approval on annual fraud management plan
Academic Qualifications
- Bachelor’s degree in Finance, Accounting, Data Science, or a related field
- Job Skills And Requirements
- Computer applications
- Use of forensic tools, analytical skills
- Report writing skills
- Decision making ability to make strategic decisions in a timely and effective manner
- High moral and ethical standing
- Demonstrable interpersonal and communication skills
- Leadership skills and effective Team player
Professional Qualifications
- Certification in Fraud Examination (CFE) or CPA (K), CFA or similar fraud risk certifications is preferred
Experience
- At least 2-3 years of experience in fraud detection, fraud investigation, or data analytics in the insurance or financial services sector.
- Proficiency in using data analytics and fraud detection tools, with a strong understanding of fraud prevention technologies in the insurance industry.
- Knowledge of fraud-related laws, regulations, and best practices within the insurance sector
- Knowledge of investigation concepts (evidence preservation and collection, data privacy, legal privilege, investigative interviewing technique, business intelligence)
- Familiar with the various dispute resolution mechanisms (e.g. trial, civil hearing, mediation, arbitration, regulatory/competition tribunals)
- Up-to-date knowledge on relevant legislation that applies to the Group and the Financial services industry including Kenya and Uganda contexts
How to Apply
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