Senior Manager: Forensics Investigation

The Road Accident Fund’s mission is to provide timely and equitable assistance to those affected by motor vehicle accidents through the provision of appropriate social benefits to ensure financial relief and recovery for qualifying individuals.

Purpose of the Job: Reporting to Head: Forensics, Senior Manager: Forensics Investigation is accountable to conduct organizational wide forensic investigations into fraudulent matters such as claims lodged, medical fraud, corruption, bribery, collusion, or cybercrime against the RAF. In addition, the incumbent will provide management advice on internal control weaknesses and improvements to the organization.

Key Performance Areas

Strategy development and operational planning

• Provide technical and strategic leadership and administrative management to the Forensic Investigation Department (FID).
• Guide implementation of the overall strategic plan for the department.
• Guide the implementation of specific key performance indicators and measures against outcomes detailed in the departmental strategic plans and annual performance plans (APP).

Policy review and implementation

• Oversee the development and implementation of anti-fraud policy, anti fraud and corruption strategy, fraud response plan, investigation methodology and applicable standard operating procedures (SOPs) for the business unit and ensure effective execution of policy and practices.
• Collaborate with appropriate structures to ensure effective execution of investigations guiding documents (anti-fraud policy, anti fraud and corruption strategy,fraud response plan, investigation methodology).
• Stay updated on industry regulatory requirements and effect the applicable changes in the organization.
• Ensure that all employees in the team know and understand the investigation legislative framework and RAF policies.

Conduct investigations into fraud, corruption, bribery, collusion conducted by external parties or combination of internal and external parties

• Develop and update procedures for reporting suspicious activities.
• Analyse the reported allegations.
• Allocate allegations for investigations in line with set guidelines and standards.
• Oversee and provide investigation capability into complex and noncomplex investigations on claims fraud, medical fraud, corruption, bribery, collusion, cybercrime, or misconduct.
• Monitor investigations progress and provide progress to the relevant stakeholders. 
• Quantify financial losses on the investigated case.
• Report control failures identified during the investigation to the relevant management.
• Approve case status changes in line with the anti-fraud policy or investigation methodology.
• Provide litigation support (testifying at disciplinary hearings, CCMA, court),and assist law enforcement agencies as and when they require help.

Recommend business areas where trends and patterns should be detected and Fraud Deterrence

• Identify business areas that are highly exposed to fraud.
• Recommend fraud detection assignment to the fraud detection team.
• Analyse the fraud detection reports and execute the investigation plan on flagged outcomes.
• Ensure proper and effective communication of investigation successes to ensure maximum deterrence.

Reporting

• Quality review investigation reports and adhere to the applicable standards and guidelines.
• Provide monthly performance report against the operational plan and APP to management.
• Provide quarterly reports to oversight structures.
• Provide investigation outcomes feedback to management.
• Compile submissions and memorandums as and when required.
• Ensure development of functional reporting systems, project or performance reporting for management.
• Manage the implemenation and operation of the case management system.
• Provide presentations to internal and external stakeholders as and when required.

Financial Management

• Ensure that the periodic financial and strategic goals of RAF as well as the performance expectations of the various teams are achieved.
• Report and review operations financial and non-financial goals.
• Ensure sufficient internal control measures are implemented for adherence to PFMA, RAF and other relevant legislation and regulation.
• Manage, monitor and control the business unit’s budget expense.
• Write and submit the monthly expenditure report.

Stakeholder Management

• Engage and communicate the FID mandate to internal and external stakeholders to ensure that they understand the responsibility of the FID unit.
• Build and maintain strategic partnership with business unit managers and heads of departments.
• Recommend corrective actions to senior managers, heads of departments to improve their processes and controls to prevent similar incident of fraud reoccuring in the future.
• Maintain proactive and progressive relationships with external stakeholders.
• Represent the Fund in relevant external activities and events.
• Communicate with all levels of stakeholder contact.
• Interact with counterparts in the industry to learn and share knowledge.
• Delegate inquiries and requests for information from both internal and external stakeholders.

People Management

• Ensure sourcing, development and retention of a high-performing team.
• Ensure that recruitment of operational workforce is in line with employment equity targets.
• Ensure the motivation, cohesiveness, and alignment of the organization’s team members.
• Manage staff in the department to ensure that they achieve their objectives in line with the strategic objectives of the RAF.
• Ensure implementation of all people managemanet processes and procedures (eg performane management) to control/regulate workplace conflict and/or institute corrective measures and consultation processes to address deviations from standards.

Qualifications and Experience

• Bachelors Degree/Advanced Diploma in Commerce (Bcom Accounting, Internal Audit, Financial Mangement, Risk Management, BCom Law, Forensic Accounting, Economics and Information Systems), Forensic Science or LLB.
• Postgraduate related qualification in Accounting, Auditing, Financial Management, Risk Management, Law, Information Technology/ Information systems, Forensics, BCompt Honours or Masters.
• Certified Fraud Examiner (CFE) or Forensic Practitioner (ICFP).
• Certified Anti-Money Laundering Specialist (CAMS) will be an added advantage.
• Relevant 9-10 years’ experience in forensic investigation (such as but not limited to fraud, corruption, bribery, forgery and counterfeit, identity theft) of which 3 (three) years must have been on a management level in managing a team.

Technical and Behavioral Competencies Required

• Strategic Capability.
• Results Orientation.
• Business and Financial Acumen.
• Compliance and Governance.
• Leadership Agility.
• Resilience.
• Communication.
• Working with People.
• Network and Alliances.
• Planning, Organising and Coordinating.
• Employee Engagement.
• Ethics and Values.
• Client Service Orientation.
• Change management.
• Coaching and mentoring.
• Conflict management.
• Critical and innovative thinking.
• Direction setting.
• Report writing.
• Facilitation and Presentation Skills.
• People management.
• Policy conceptualisation and formulation.
• Risk Management.
• Programme/project management.
• Service Delivery Innovation.
• Stakeholder development and relations.
• Very good knowledge of Criminal law.
• Very good knowledge of litigation support (Testifying at disciplinary hearings, CCMA and court).
• Very good knowledge of working with law enforcement agencies.
• Very good knowledge of working with Financial sectors (Banks).
• Very good knowledge in developing investigation methodology, anti-fraud policy, fraud prevention plan/ anti-fraud strategy.

The Road Accident Fund subscribes to the principles of employment equity and preference will be given to People with Disabilities.

Applicants who have not received any correspondence from us within six weeks from the closing date can consider themselves unsuccessful.

Security Vetting shall be conducted on all prospective employees.

It is the applicants’ responsibility to have foreign qualification evaluated by the South African Qualification Authority (SAQA) and to provide proof of such evaluation.