Forensics Officer - Analytics and Investigation at Apollo Life Assurance - APA Insurance

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

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

Opened Career