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