Fund Manager: Fund Management and New Business (Africa) - MEDSCHEME FORENSIC (AFROCENTRIC HEALTH) - South Africa
(2021-06)
- Attend and actively participate in presentations to the Principal Officer and Board, ensuring that all relevant information is communicated effectively and that the objectives of each presentation are met.
- Oversee the comprehensive development and seamless implementation of fraud detection applications, ensuring their efficiency and effectiveness across various platforms.
- Perform live demonstrations and presentations of fraud applications, showcasing their capabilities and benefits to clients and stakeholders.
- Take the lead in sourcing and evaluating service providers who can meet the specific needs of clients, such as establishing fraud hotlines and related services.
- Spearhead business intelligence initiatives by gathering and analyzing data to provide actionable insights for clients and stakeholders, contributing to better decision-making.
- Serve as the key liaison between the forensic department and clients, building strong relationships, ensuring clear communication, and fostering trust with all parties.
- Coordinate the implementation of fraud awareness programs and educational initiatives for clients, enhancing their understanding of fraud prevention and detection strategies.
- Map out the specific responsibilities of both clients and the department, ensuring clear accountability and a structured approach to operations.
- Consolidate client mandates and ensure that all terms and agreements are accurately documented, tracked, and communicated to relevant parties.
- Actively participate in industry-sharing initiatives, collaborating with other organizations to stay at the forefront of developments and best practices in the field of forensic fraud prevention.
- Build and maintain strong relationships with law enforcement agencies, regulatory bodies, and other professional organizations to ensure seamless collaboration and timely action when necessary.
- Oversee and manage the invoicing process for clients, ensuring timely and accurate billing while maintaining transparency and addressing any discrepancies.
- Prepare detailed monthly, quarterly, and yearly reports, summarizing key activities, performance metrics, and future action plans, and communicate them to internal and external stakeholders.
- Regularly travel to Namibia and Botswana for meetings and collaborative discussions, fostering international relationships and ensuring alignment across the region.
Senior Specialist: Project Manager – Forensic AI and Case Management - MEDSCHEME FORENSIC (AFROCENTRIC HEALTH) - South Africa
(2021-06)
- Manage two critical projects aimed at replacing the FICO (IFM) system, overseeing the entire process of designing, developing, and deploying a new case management and analytics tool.
- Lead the effort to source, evaluate, and select service providers capable of meeting the high standards required for the successful implementation of new fraud prevention tools and systems.
- Organize and schedule product demos and proof-of-concept sessions with external vendors, ensuring that their offerings align with the company's needs and expectations.
- Develop comprehensive business cases that demonstrate the return on investment (ROI) for new technologies and systems, presenting these cases to key stakeholders to secure approval and funding
- Coordinate and present information to review boards, providing updates, progress reports, and risk assessments to ensure transparency and informed decision-making.
- Act as a liaison between the business, IT department, and external service providers, facilitating clear communication and collaboration throughout the project lifecycle.
- Ensure the procurement and setup of the necessary infrastructure to host applications, ensuring that all technical requirements are met for secure and reliable performance.
- Work closely with IT to ensure that all project developments adhere to stringent IT security protocols, safeguarding sensitive data and ensuring compliance with legal requirements.
- Manage the implementation of access for external parties, ensuring appropriate vetting and compliance with organizational policies, including conducting criminal background checks.
- Regularly monitor project progress using the EPM tool, tracking risk scores, milestones, and timelines, and implementing corrective actions as needed to stay on track.
- Oversee the implementation of disaster recovery plans for the project, ensuring business continuity and the safety of data and systems in case of unforeseen disruptions.
- Ensure compliance with all governance standards and internal policies, providing guidance and support to team members and external vendors throughout the process.
- Lead the development and execution of test scenarios and test plans, ensuring that all applications meet quality and functionality standards before being deployed into production.
- Administer the applications post-launch, providing ongoing support and troubleshooting to ensure their continued effectiveness in fraud prevention.
- Drive group-wide fraud prevention initiatives, coordinating efforts across various departments to ensure that all stakeholders are aligned and contributing to the collective goal.
Senior Specialist: Forensic FICO IFM Administrator - MEDSCHEME FORENSIC (AFROCENTRIC HEALTH) - South Africa
(2019-10 - 2021-05)
- Provide general user support for the forensic department, assisting team members with technical issues and troubleshooting application-related problems to maintain operational efficiency.
- Monitor the daily scoring processes for medical and pharmacy files, ensuring that all files are processed accurately and in a timely manner, meeting the department's high standards.
- Track and resolve automation log errors in Active MQ, liaising with the IT department to ensure seamless integration and minimal downtime in the scoring process.
- Collaborate with IT to address system-related issues, including network, server, Linux, and DBA support, ensuring that all technical aspects of the forensic system are fully operational.
- Conduct quarterly retraining of fraud detection models to improve accuracy and adapt to new fraud trends, ensuring that the system remains effective in detecting fraudulent activities.
- Onboard new schemes to the FICO IFM system, working closely with internal teams and clients to ensure smooth implementation and user adoption.
- Provide training to forensic and business staff on the use of FICO IFM, ensuring that all users are proficient in using the system and fully understand its capabilities.
- Regularly update FICO IFM processes and investigation presets to reflect the latest fraud trends and industry best practices, enhancing the system's ability to detect and prevent fraud.
- Manage user roles, permissions, and queues within FICO IFM, ensuring that access is granted appropriately and that the system operates efficiently for all users.
- Coordinate the deployment of application updates and patches, ensuring that all systems remain up-to-date and secure.
- Work closely with FICO support to resolve any issues with the system, ensuring that any technical challenges are addressed promptly and effectively.
- Manage change requests and oversee the blackout approval processes, ensuring that all changes to the system are well-documented and authorized before being implemented.
Senior Specialist: Finance and Reporting - MEDSCHEME FORENSIC (AFROCENTRIC HEALTH) - South Africa
(2018-12 - 2019-09)
Internal Investigator - MEDSCHEME FORENSIC (AFROCENTRIC HEALTH) - South Africa
(2018-02 - 2018-11)
System Analyst – Website Services (Secondment) - HELIOS IT SOLUTIONS (AFROCENTRIC HEALTH) - South Africa
(2017-09 - 2018-01)
Data Analyst / Information Specialist - HELIOS IT SOLUTIONS (AFROCENTRIC HEALTH) - South Africa
(2015-02 - 2017-08)
Quality Controller: Banking Details - MEDSCHEME HOLDINGS - South Africa
(2011-11 - 2015-01)
Website and IVR Specialist - MEDSCHEME HOLDINGS - South Africa
(2011-11 - 2015-01)
Junior Internal Auditor / Junior Forensic Auditor - MANGWANANI AFRICAN SPA - South Africa
(2011-07 - 2011-11)
Team Leader/ Key Accounts in Customer Support and Risk Services - ONLINE GAMING (VILLENTO BRANDS) / ISIS INTERNET SERVICES - LA LUCIA, KWAZULU NATAL, SOUTH AFRICA
(2007-11 - 2011-06)
Customer Services Consultant - CELL C - WESTVILLE, KWAZULU NATAL, SOUTH AFRICA
(2007-05 - 2007-10)
Consultant & Forensic Investigator (Field Assessor) - DELOITTE - LA LUCIA, KWAZULU NATAL, SOUTH AFRICA
(2006-01 - 2007-01)
Branch Teller / Enquiries - STANDARD BANK - South Africa
(2005-01 - 2005-12)
