Fraud Risk Management Professional
5 days ago
The successful Fraud Risk Management Professional will be responsible for identifying and mitigating fraud risk across our organisation. As an Investigations Review Officer, you will play a critical role in maintaining the integrity of our operations.
- Fraud Risk Identification: Utilize your expertise to identify potential fraud risks across our organisation, and develop strategies to mitigate these risks.
- Investigation and Review: Conduct thorough investigations and reviews of cases to identify potential fraud and misconduct, and to ensure compliance with regulatory requirements.
- Process Improvement: Identify areas for improvement in business processes, focusing on efficiency, fraud risks, and user requirements to enhance overall performance.
- Customer Engagement: Deliver exceptional customer service by engaging with customers, third parties, external investigators, and forensic specialists to resolve issues effectively.
- Evidence Gathering and Resolution: Conduct thorough interviews and re-interviews to gather and resolve evidence inconsistencies, ensuring that all facts are verified.
- Clear Communication: Draft clear and well-supported written communications, including respectful explanations for denied claims, to maintain transparency and trust.
- Stakeholder Communication: Communicate effectively and negotiate with a diverse range of stakeholders to achieve mutually beneficial outcomes.
- Task Management: Manage portfolios autonomously, prioritise tasks, and achieve goals through effective time management and organisation.
- Team Collaboration: Collaborate with team members, contributing to organisational goals and process improvements with objectivity and a growth mindset.
- Legislative Awareness: Understand and apply relevant legislation and policies, such as the Insurance Contracts Act or Code of Practice, and maintain proficiency in digital and IT systems.
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Risk Fraud
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