Analyst, Insurance Fraud
Standard Bank
Johannesburg
5d ago

Job Details

Risk & Corporate Affairs

Job Purpose

To investigate and detect illegal, fraudulent or improper activities by monitoring accounts for fraud, analysing trends, reporting on security threats and resolving fraud cases in order to mitigate risk of financial loss for Standard Bank Group (SBG)

Key Responsibilities / Accountabilities

Risk, Regulatory, Prudential & Compliance Resolve all matters with urgency and accuracy while adhering to set processes, procedures and regulatory requirements without exceeding the constantly reviewed business defined Service Level Agreements (SLAs) in order to minimise any risk of breach in contractual agreements.

Report all identified matters, defects, deficiencies and risks to all relevant internal and external bodies, persons or entities in line with regulatory and legislative reporting requirements in order to adhere to laid down escalation processes.

Conduct analysis using learnt and intuitive knowledge, tools, systems, processes and any other relevant platforms in order to determine the output and decision of the matter.

Conduct root cause analysis on matters by obtaining appropriate evidence which is documented to determine potential risk and exposure (customer, Bank and entities).

Execute the required mitigation steps to recover, stop and secure the money and to stop the goods and service in order to minimise the risk of loss to both the customer and the Bank

Technology & Architecture Identify areas of opportunity for automation and optimisation and make recommendations to optimise any system and capabilities used

Client Determine customer requirements by engaging with the customers using relevant communication mediums (e.g. email, SMS) in order to deliver a consistent service suitable to meet the needs of the customer in line with the laid down communication procedures.

Stay abreast of customer conduct on an account by reading bank statements, verifying the income and expenditure and reading and interpretation of scorecards or risk matrix where applicable to ensure holistic solutions are provided to the customer.

Inform customers of their rights and obligations to the Bank to ensure adherence to the Code of Banking Practice.

Manage business related data through the use of various technologies to enable further analysis.

Data Update relevant systems with history notes by inputting mandatory data, case information and history notes into the relevant databases to enable the use of the information by the relevant stakeholders / entities for decision making.

Prepare accurate investigative reports and provide feedback where necessary on matters in order to ensure key stakeholders have the correct information to make critical decisions.

Report any data inaccuracies and anomalies to the relevant persons / bodies / entities in adherence to any relevant data policies.

Obtain and maintain files and records while adhering to all information security protocols to ensure accurate and timely information management

People

Follow all relevant departmental policies, processes, standard operating procedures, and instructions by ensuring self-development through compliance courses and trainings in order to mitigate risk to the Bank

Minimum Qualification and Experience

Diploma in Risk Management

3 - 4 years Experience in an investigative role in fraud or similar environment. Comprehensive knowledge of transactional systems, processes and procedures in the industry.

Ability to analyse situations and issues, identify options, draw logical conclusions and sound inferences, determine and recommend practical sources of action utilising good judgment and strategic thinking.

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