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

Apollo Life Assurance - APA Insurance

  • Nairobi
  • Permanent
  • Full-time
  • 8 days ago
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
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