Fraud Investigator

Role Summary:

The Fraud Investigation Manager will be a key player in safeguarding the organization's assets and reputation by independently managing and executing thorough investigations and verifications of suspected fraudulent activities and incidents.

This role requires a highly experienced and analytical individual with a strong understanding of investigative methodologies, data analysis, and reporting. The Manager will be responsible for handling complex complaint cases, preparing detailed investigation reports, coordinating with regional teams and field investigators, managing vendor relationships, and delivering insightful Management Information System (MIS) reports, data analytics, and presentations.

Key Responsibilities:

1. Case Investigation:

- Conduct comprehensive and independent investigations into allegations of fraud, misconduct, and policy violations, utilizing various investigative techniques, including document review, interviews, and data analysis.

- Develop and execute sophisticated investigation plans, ensuring adherence to established protocols and timelines.

- Gather and analyze complex evidence to identify root causes, patterns, and perpetrators of fraudulent activities.

- Maintain meticulous and detailed records of all investigative activities, ensuring confidentiality and compliance with legal and regulatory requirements.

- Identify and assess complex potential risks and vulnerabilities that may contribute to fraudulent activities.

- Proactively monitor and analyze data to detect subtle anomalies and potential fraud indicators.

- Conduct advanced forensic accounting and data analysis as required to support investigations.

- Manage and prioritize multiple complex investigations simultaneously, ensuring timely and effective resolution.

2. Report Preparation:

- Prepare detailed and comprehensive investigation reports, summarizing findings, conclusions, and strategic recommendations.

- Document complex evidence and findings in a clear, concise, and organized manner, suitable for presentation to senior management and legal counsel.

- Develop and maintain sophisticated standardized reporting formats and templates.

- Ensure reports are accurate, objective, and supported by robust evidence.

- Present investigation findings and recommendations to relevant stakeholders, including senior executives.

3. Departmental Coordination:

- Collaborate with regional teams and field investigators to ensure effective coordination and communication throughout complex investigation processes.

- Liaise with internal departments such as Legal, Compliance, Risk Management, and Human Resources to gather information and support investigations.

- Provide expert guidance and support to regional teams and field investigators on advanced investigation procedures and best practices.

- Foster a collaborative and cooperative working environment within the investigations team.

- Coordinate with law enforcement agencies as required, managing complex legal interactions.

4. Vendor Interaction:

- Manage relationships with external vendors providing specialized investigation-related services, such as forensic experts and advanced background check agencies.

- Negotiate complex contracts and ensure vendor compliance with stringent service level agreements.

- Evaluate vendor performance and recommend strategic improvements as needed.

- Ensure cost-effective utilization of vendor services.

- Maintain comprehensive documentation of vendor interactions and agreements.

5. MIS, Analytics and Presentation:

- Develop and maintain sophisticated Management Information System (MIS) reports to track complex investigation metrics, trends, and outcomes.

- Conduct advanced data analysis to identify intricate patterns, trends, and potential fraud risks.

- Prepare and deliver compelling presentations to senior management, highlighting key findings, strategic insights, and recommendations.

- Utilize advanced data visualization tools to present complex information in a clear and understandable format.

- Develop and implement data-driven strategies to enhance fraud detection and prevention.

- Create dynamic dashboards and reports that provide real-time strategic insights into fraud trends and investigation progress.

- Ensure the integrity and accuracy of all data used for reporting and analysis.

Qualifications and Experience:

- Master's degree in a relevant field (e.g., Finance, Accounting, Criminal Justice, Business Administration).

- Minimum 10 years of progressive experience in fraud investigation, internal audit, or risk management.

- Proven track record of successfully managing and executing complex and high-profile investigations.

- Strong understanding of advanced investigative techniques, forensic accounting, and data analysis.

- Excellent analytical, problem-solving, and critical thinking skills.

- Advanced proficiency in data analysis tools and software (e.g., Excel, SQL, Tableau, Power BI).

- Strong communication and presentation skills, with the ability to convey complex information clearly and concisely to senior management.

- Excellent report writing and documentation skills, with the ability to produce high-quality, executive-level reports.

- In-depth knowledge of relevant laws and regulations related to fraud and investigations.

- Ability to work independently and lead a team.

- High level of integrity, confidentiality, and ethical conduct.

- Extensive experience in vendor management is highly desirable.