Forensic Investigator (Cape Town)

Purpose Statement

• Under the guidance of the respective investigations manager, investigate instances of risk related to various types of fraud incidents across Capitec (e.g. claims fraud for Capitec Insurance. This will include internal fraud, serious breach of policies and procedures, and criminal syndicates). Investigate the matter, the parties involved and provide appropriate evidence for disciplinary hearings and/or criminal proceedings. Identify control weaknesses and recommend preventative measures, improvements, and training initiatives against potential fraud.

Experience
Min:

• 3 plus years’ experience as a Forensic Investigator/Auditor

Ideal:

• Proven experience as a Forensic Investigator/Auditor in the Financial Services Sector
• Proven experience in conducting insurance fraud investigations, including identifying, analysing and mitigating fraudulent claims.
• Background in funeral investigations or related qualifications (e.g., CFE, criminology, forensic law and Auditing, etc)
• Strong reporting and communication skills.

Qualifications (Minimum)

• A relevant tertiary qualification in Forensics

Knowledge
Min:

• Investigation methods and procedures
• Criminal law and law of evidence of the judicial process

Ideal:

• Fraud and misrepresentation in the insurance industry

Key Performance Areas
Investigation of all fraudulent activities

• Perform investigations identified or referred to the team from the claims or other departments from within Capitec Insurance.
• Plan the investigations and set specific objectives, including:
• Detail the modus operandi
• Gather comprehensive information and store it appropriately
• Stop, quantify and recover the losses where possible.
• Identify internal and external perpetrators and make recommendations for action against guiltyparties.
• Recommend corrective action on control weaknesses.
• Draft a detailed Forensic Report for findings and recommendations.
• If applicable, initiate a criminal case and work with Law Enforcement to drive investigation.
• Adhere to SLAs for appropriate action plan.

Implement fraud/theft preventative Measures

Reporting

External:

• Collaborate with Compliance and Risk Management to ensure that reporting is performed to regulatorybodies and law enforcement agencies and provide support as required including opening cases,providing written statements, documentation and affidavits where required.
• Liaise with and report to various industry bodies to share insights and information.

Internal and within the Group:

• On-going verbal and email reports to line management regarding activity.
• Provide input into reports for Insurance Exco on an ongoing basis providing:
• An overview of fraudulent activity and actions.
• Recommended changes to policy and process.
• “Return On Investment” (Savings due to fraud prevention).
• Internal information sharing/feedback regarding findings on identified fraud cases or enquiries orgeneral trends.
• Enquiries and ad hoc responsibilities

Skills

• Analytical Skills
• Communications Skills
• Computer Literacy (MS Word, MS Excel, MS Outlook)
• Decision making skills
• Interpersonal & Relationship management Skills
• Negotiation skills
• Presentation Skills
• Reporting Skills

Conditions of Employment

• Clear criminal and credit record