Fraud Analyst at Altima Africa

The successful candidate will have the following primary responsibilities:

• Identify fraudulent claims and organized criminal rings by analyzing internal and open source data; 
• Review and triage suspected fraudulent transactions identified by predictive models; 
• Provide input to IT data team to build effective algorithms aimed at identifying fraudulent claims and organized criminal rings;
• Analyze large data sets to spot outlier and anomalous behaviors’;
• Extract value and meaning from big data; 
• Support investigations of complex, large scale insurance fraud;
• Recommend new software tools used for fraud detection, prevention and reporting activities;
• Monitor constantly customer, service providers and transactional records to identify unauthorized transactions and fraudulent activities;
• Review and research evidence/documents to analyse the overall fact pattern of claims and synthesize data into a professional report with recommendations;
• Write clear, concise and professional reports detailing analytical findings; and
• Perform other related fraud investigation & security duties as assigned.

DESIRED COMPETENCIES

• Business Acumen; 
• Analytical Skills;
• Interpersonal Skills;
• Problem Solving Skills; and 
• Relationship Management.

MINIMUM QUALIFICATIONS

• A Bachelor’s degree ;
• A Certified Fraud Examiner (CFE) or similar qualification is an added advantage;
• · A minimum of three (3) years of experience in Insurance fraud investigations, criminal justice or law enforcement and forensic data analysis & intelligence analysis;
• Proficiency in insurance procedures, regulations and investigation methods; and
• Hands on experience in using relevant information systems for forensic and data analytics and commercial analytics tools.