Investigator Internal Control, Johannesburg

Job Description,

The incumbent will be responsible for the investigation of fraud and will form part of the PPS Short Term Insurance Investigations Team with sound knowledge of Life Insurance, Internal Control/Forensics area. The incumbent will report to the Technical Operations Manager in the STI Business. Job Description,

The incumbent will be responsible for the investigation of fraud and will form part of the PPS Short Term Insurance Investigations Team with sound knowledge of Life Insurance, Internal Control/Forensics area. The incumbent will report to the Technical Operations Manager in the STI Business.

This position calls for someone with extensive experience in civil and criminal investigation related to white-collar crime, especially in the long-term insurance industry. As PPS Insurance Company is a professional company dealing with professionals, the successful candidate would have to suit these criteria and the incumbent will have to sign and abide by the Forensic code of ethics. It will be expected from the successful candidate to travel with own reliable vehicle from time to time and sometimes on short notice.

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Requirements ,

Education

Preferred or relevant Bachelor’s Degree in Forensic or equivalent Certified Fraud Examiner (CFE) Relevant post graduate degree will be advantageous

Experience

5 years’ experience in similar role Experience in working in the insurance or banking environment. Experience in conducting internal forensic investigations.

Knowledge And Skills

Strong communication skills (written&verbal) Strong networking and relationship building (Internal&external) Strong analytic and problem-solving skills Adaptability to different stakeholders, audiences, and environments Data analysis (conversant with pivot tables and other analysis tools) Ability to evaluate, identify and assess trends and patterns requiring further investigation Ability to present case using the relevant presentation toolsInterpersonal skills to persuade and ensure compliance with established methods, models and concepts of investigation, to discussion among authorities involved in an investigation and reconcile differing interpretation of evidence Ready to work in a challenging environment.

Competencies

Advanced forensic investigation capability and strategy implementation Identification of fraudulent activity / behaviour Formulation of investigation with other stakeholders (Audit/HR/Insurance) Adapting and responding to change Commercial Acumen Persuading and Influencing Deciding and Initiating ActionCollaboration

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Duties and Responsibilities ,

Must provide assistance in detecting and investigation of fraud and suspected fraud and abuse within PPS Group, from initiation to finalisation of court cases. This would include the interviewing of witnesses and suspects as well as the examination of supporting evidence and documentation Assisting with the investigation of leads received via the Fraud Hotline and any other communication channels.Monitor the fraud mailbox and register cases on the case management system (excel document). Conduct specialised forensic investigations of internal staff and others to identify fraud and recover funds. Ability to assess and interpret evidence, maintaining the integrity of the investigation, evaluating results and determining cause, analyse the circumstance and make valid recommendations.Contact banks to block accounts and recover money lost as a result of fraud. Must be able to perform investigations in such a way that the image of PPS is not detrimentally affected. Execute and actively participate in complex investigations Conduct Internal Auditing on claims, processes, service providers, etc.Look at processes of Prevention and Deterrence of Fraud Consolidation of evidence and compilation of forensic report. Attend and presenting evidence at a disciplinary hearing. Compiling case dockets for criminal prosecution. Produce an investigative reporting and tracking of criminal cases Attending and presenting evidence in a court of law.Documenting and tracking of all open cases daily till closure.

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