Assistant Manager-Fraud Prevention and Investigation at CIC Insurance

PURPOSE:

To conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed against the Company.

PRIMARY RESPONSIBILITIES:

• Develop and implement appropriate policies and standards of investigation.
• Manage fraud specific complaint to ensure that all complaints communicated are carefully handled.
• Review and research evidence/documents to analyse the overall fact pattern of claim.
• Prepare timely reports on activities related to investigations and give sound recommendations.
• Prepare and coordinate field assignments to obtain relevant evidence and information.
• Coordinate with defense counsels to provide deposition strategies and use law enforcement resources for assistance.
• Manage a large and varied case load effectively and efficiently to achieve positive results.
• Prepare prosecution packages and restitution proposals

Academic Qualifications

• Bachelor’s degree in Social Science or a related field

Professional Qualifications

• Diploma in criminology.

Experience

• Up to 3 years of relevant experience with proficiency in insurance procedures, regulations and investigation methods.

Skills and Attributes

• Honest and ethical with high levels of integrity and confidentiality.
• Discrete and tactful.
• Conflict resolution skills with display of good interviewing and interrogation skills.
• Good analytical and organizational skills needed to manage a high volume of assigned cases.
• Computer literate in MS Office and other office applications;
• Understanding of the working environment with strong interpersonal and communication including the ability to interact with clients, management and law enforcement.