kimathifelix72

Data Analysis, Audit & Fraud Examination:

· Manage audit engagements from initiation to completion.
· Prepare and engage in the review of audit reports.
· Risk Analysis - Identify risk areas and offer recommendations.
· Ensure adherence to auditing standards.
· Collaborate with other departments to develop and implement audit plans.
· Data Analysis - Analyze data to generate actionable insights and identify trends or opportunities for process improvement.
. Conduct in-depth investigations into suspected fraud cases, including but not limited to analyzing data accordingly, interviewing witnesses and or suspects and recording their statements, and reviewing supporting evidence.
. Conducting OSINT investigations and communicating to management or departmental heads the findings on current and emerging threats or risk areas.
. International Oversight: Annual Business Trips to African countries where Softcare operates to oversee internal audit processes, investigations, fraud examination and data management. Countries: Guinea, Senegal, Cote De Ivoire, Ghana, Benin, Burkina Faso, Cameroon, Nigeria, Uganda, Tanzania, Zambia and South Africa.
Data Analysis, Audit & Fraud Examination: · Manage audit engagements from initiation to completion. · Prepare and engage in the review of audit reports. · Risk Analysis - Identify risk areas and offer recommendations. · Ensure adherence to auditing standards. · Collaborate with other departments to develop and implement audit plans. · Data Analysis - Analyze data to generate actionable insights and identify trends or opportunities for process improvement. . Conduct in-depth investigations into suspected fraud cases, including but not limited to analyzing data accordingly, interviewing witnesses and or suspects and recording their statements, and reviewing supporting evidence. . Conducting OSINT investigations and communicating to management or departmental heads the findings on current and emerging threats or risk areas. . International Oversight: Annual Business Trips to African countries where Softcare operates to oversee internal audit processes, investigations, fraud examination and data management. Countries: Guinea, Senegal, Cote De Ivoire, Ghana, Benin, Burkina Faso, Cameroon, Nigeria, Uganda, Tanzania, Zambia and South Africa.
Skills: Fraud Detection · Manufacturing Operations Management · Internal Audits · Fraud Investigations · Process Optimization (Manufacturing) · Operational Risk Management · Operations Management · Contractual Agreements · Regulatory Compliance · Cost Savings Strategies · Fraud Prevention · Data Analysis · Microsoft Excel · Investigative Reporting

• Conduct in-depth investigations into suspected insurance fraud cases, including but not limited to analyzing claim documents, interviewing witnesses, and reviewing supporting evidence.
• Gather and analyze data from various sources, such as insurance databases, financial records, and surveillance footage, to identify patterns and anomalies that may indicate fraudulent activities.
• Collaborate with internal teams, law enforcement agencies, and legal departments to coordinate investigative efforts and ensure compliance with legal requirements.
• Conduct interviews with claimants, witnesses, and relevant parties to gather information and statements regarding suspected fraudulent activities.
•. Prepare detailed investigative reports that document findings, evidence, and recommendations for further action, such as denial of claims or criminal prosecution.
•. Stay updated on industry trends, new fraud schemes, and emerging technologies to enhance investigative techniques and mitigate potential risks.
• Provide expert testimony and evidence in legal proceedings, as required.
• Develop and implement fraud prevention strategies and training programs for insurance company employees to promote awareness and proactive detection of fraudulent activities.
• Conduct in-depth investigations into suspected insurance fraud cases, including but not limited to analyzing claim documents, interviewing witnesses, and reviewing supporting evidence. • Gather and analyze data from various sources, such as insurance databases, financial records, and surveillance footage, to identify patterns and anomalies that may indicate fraudulent activities. • Collaborate with internal teams, law enforcement agencies, and legal departments to coordinate investigative efforts and ensure compliance with legal requirements. • Conduct interviews with claimants, witnesses, and relevant parties to gather information and statements regarding suspected fraudulent activities. •. Prepare detailed investigative reports that document findings, evidence, and recommendations for further action, such as denial of claims or criminal prosecution. •. Stay updated on industry trends, new fraud schemes, and emerging technologies to enhance investigative techniques and mitigate potential risks. • Provide expert testimony and evidence in legal proceedings, as required. • Develop and implement fraud prevention strategies and training programs for insurance company employees to promote awareness and proactive detection of fraudulent activities.
Skills: Insurance Claims · Evidence Collection · Tracing · Interviewing Subject Matter Experts · Decision-Making · Insurance Fraud Prevention · Claim Investigation · Investigative Reporting · Asset Tracing · Insurance investigations · Analytics · Contact Tracing · Title Insurance Fraud Detection · Data Analysis · Anti-Money Laundering

• Customer Service Representative: Responsible for answering customer inquiries, resolving complaints, and providing information about the company's products and services.
• Relationship Management: Building and maintaining relationships with clients, identifying opportunities for cross-selling and upselling products and services.
• Cyber risk management and incident response.
• Data protection, privacy and cybersecurity audits, risk and compliance assessment, and remediation.
• Risks (Anti-fraud, bribery, corruption, money laundering, and other financial crimes services) and compliance.
• Basic Underwriting at the branch level.
• Customer Experience Management: Overseeing overall customer experience, monitoring feedback, and using it to improve products and services.
• KYC Compliance: Verification of data received from Financial Advisors and sales agents.
• Front Office Management and other duties assigned
• Customer Service Representative: Responsible for answering customer inquiries, resolving complaints, and providing information about the company's products and services. • Relationship Management: Building and maintaining relationships with clients, identifying opportunities for cross-selling and upselling products and services. • Cyber risk management and incident response. • Data protection, privacy and cybersecurity audits, risk and compliance assessment, and remediation. • Risks (Anti-fraud, bribery, corruption, money laundering, and other financial crimes services) and compliance. • Basic Underwriting at the branch level. • Customer Experience Management: Overseeing overall customer experience, monitoring feedback, and using it to improve products and services. • KYC Compliance: Verification of data received from Financial Advisors and sales agents. • Front Office Management and other duties assigned
Skills: Life Insurance · Interviewing Subject Matter Experts · Underwriting · Decision-Making · Financial Risk · Customer Service · Claims Handling · Compliance Management · Customer Experience · Risk Management · Anti-Money Laundering · Client Services · Customer Escalation Management · Escalation Resolution · Customer Relationship Management (CRM) · Customer Support · Incident Management · Incident Investigation

Chief Judge - #MyLittleBigThing SDGs Innovation Challenge.
Skills: Decision-Making · Innovation Management · Panel Moderator · Sustainable Development Goals (SDG)