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The Fraud Investigation Specialist is responsible in assisting the Head of Investigation and other key stakeholders in the administration on the main areas of AIA Anti-Fraud Policy. Main responsibility is to conduct investigation of “Routine Cases” related to employee fraud, intermediary fraud and third-party contractor fraud suffered by Philam Group. He/she will also be responsible in assisting the Head of Investigation in providing fraud risk assessment by performing portfolio review, fraud risk areas and providing advisory assistance to business units in terms of addressing their vulnerable areas.

Key roles and responsibilities include:

• Conduct of triage for cases endorsed to Investigation team, conduct of the investigation, fact finding, analysis of findings, and formulating recommendations to address any issues as a result of the investigation.
• Devise investigation plan for every case to be reviewed. Discuss the plan with Head of Investigation to ensure that the investigation steps are aligned with the AIA/Philam investigation standards and/or existing laws.
• Ensures the accuracy, completeness and integrity of the content of his/her own Investigation Report. Endorse the investigation report to Head of Investigation for review and assessment.
• Assist in preparing the regular reports to be submitted to management in relation to total number of cases (current and outstanding)
• Provides insights on the current fraud trends based on the case registry.
• Assist in ensuring that the Fraud Investigation Team is timely endorsement of “Significant Cases” to Group Internal Audit.
• Assist in ensuring that the Fraud Investigation Team observes timely closure of all items for investigations in accordance to the TAT set by Philam Group.
• Prepare reports to be submitted to Head of Investigations and Group Investigation Team, Business Heads and relevant committee(s) regarding overall status of investigations and cases handled by the team
• Quantification of the recoverable amount in cases investigated. Quantified amount is discussed with relevant BU and consulted with Legal Office as necessary to ensure that there is an effective recovery process for fraud losses incurred by Philam Group.
• Presentation of the investigation report to disciplinary committee and may testify in court in relation to the internal investigation of Philam Group, if necessary.
• Participate and assist the Head of Investigation in further refining strategic agenda for the Anti-Fraud function of the team and implementing the strategic direction for Philam Group
• Assist the Head of Investigation in ensuring that Anti-Fraud Policy requirements are effectively embedded and communicated across Business Units of the Philam Group
• Collaborate with different key stakeholders in reviewing emerging issues and assess potential related fraud risk so that the business will be able to craft preventive measures
• Assist in ensuring the gross and residual fraud risks are understood and agreed with the respective business heads of Philam Group
• Assist in the fraud risk awareness programs in the Philam Group by organizing fraud risk awareness campaigns, facilitating relevant trainings, and creating circulars to uphold Zero tolerance approach as mandated in the Anti-Fraud Policy
• Assist in effective fraud risk management strategies and timely deploy these strategies across Philam Group
• Assist in ensuring that the cost budget in Anti-Fraud operations and initiatives of CID is based on robust capacity plans and is delivered through a rigorous cost management discipline
• Assist in identifying industry best Anti-Fraud infrastructure and management practices are tabled and are considered for adoption within the Philam Group.
• Assist the Fraud Investigation Manager in the standardization, automation and consolidation through re-engineering and process improvement initiatives for Anti-Fraud
• Assist Fraud Investigation Manager in maintaining Anti-fraud capabilities, skills and of other fraud investigators in compliance with both internal policies and external regulations
• Assist in improving the operational efficiency and effectiveness of Fraud Investigation Team processes
• Assist with the team’s compliance in expense management discipline and enhance capacity planning, forecasting and cost reporting processes.

MINIMUM JOB REQUIREMENTS:

• University degree in Accounting, IT, business process engineering. Special designations such as Certified Public Accountant (CPA) or Certificated Fraud Examiner (CFE) will be an advantage.
• The maturity and authority necessary to deal with senior management and sensitive issues.
• At least 5 years of relevant work experience in audit, investigations, risk management, or compliance. Anti-fraud related professional experience (fraud prevention, fraud detection, fraud investigation and other anti-fraud initiatives) will be an advantage.
• Ability to identify, evaluate and interpret complex financial transactions from the appropriate financial accounting records.

• . Knowledge in data analytics, computer forensics, and information security is preferred.
• Willingness to travel at short notice and spend time alone, acting on own initiative with minimal information and supervision.
• Self confident, self motivated and good interpersonal skills to maintain good professional relationships
• Ability to work under pressure and meet milestones within reasonable timeline
• Background and/or working knowledge on insurance company operations will be an advantage.

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