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About the Role

The Fraud Investigation Consultant is responsible in assisting the Chief Legal Officer and Corporate Secretary/ Head of Investigation and other key stakeholders in the administration on the main areas of AIA Anti-Fraud Policy. Specifically, AFP1: Zero-Tolerance Approach, AFP3: Ethical Culture & Training, AFP4: Fraud Risk Management, AFP5: Fraud Response, AFP6: Consequence Management.

Main responsibility is to conduct investigation of Routine Cases related to employee fraud, intermediary fraud and third-party contractor fraud suffered by AIAPH Group.

He/she will also be responsible in assisting the Chief Legal Officer and Corporate Secretary/Fraud Investigation Principal of the Central Investigation Team (CIT) in providing fraud risk assessment by performing portfolio review, fraud risk areas and providing advisory assistance to business units in terms of addressing their vulnerable areas.

Roles and Responsibilities:

Conduct of triage for cases endorsed to CIT, conduct of the investigation, fact finding, analysis of findings, and formulating recommendations to address any issues as a result of the investigation.
Devise investigation plan for every case to be reviewed. Discuss the plan with Fraud Investigation Principal to ensure that the investigation steps are aligned with the AIA Group investigation standards and/or existing laws.
Ensures the accuracy, completeness and integrity of the content of his/her own Investigation Report. Endorse the investigation report to Fraud Investigation Principal for review and assessment.
Assist in preparing the regular reports to be submitted Regulatory Compliance Committee and other committees in relation to total number of cases (current and outstanding)
Provides insights on the current fraud trends based on the case registry.
Assist in ensuring that the Fraud Investigation Team is timely endorsement of Significant Cases to Group Internal Audit.
Assist in ensuring that the Fraud Investigation Team observes timely closure of all items for investigations in accordance to the Turn Around Time set by AIAPH Group.
Prepare reports to be submitted to Fraud Investigation Principal/Chief Legal Officer and Group Investigation Team, Business Heads and relevant committee(s) regarding overall status of investigations and cases handled by the team
Quantification of the recoverable amount in cases investigated. Quantified amount is discussed with relevant BU and consulted with Legal Office as necessary to ensure that there is an effective recovery process for fraud losses incurred by AIAPH Group.
Presentation of the investigationreport to disciplinary committee and may testify in court in relation to the internal investigation of AIAPH Group, if necessarary
Participate and assist the Fraud Investigation Principal/Chief Legal Officer in further refining strategic agenda for the Anti-Fraud function of the team and implementing the strategic direction for AIAPH Group.
Assist the Fraud Investigation Principal/ Chief Legal Officer in ensuring that Anti-Fraud Policy requirements are effectively embedded and communicated across Business Units of the AIAPH Group.
Collaborate with different key stakeholders in reviewing emerging issues and assess potential related fraud risk so that the business will be able to craft preventive measures.
Assist in ensuring the gross and residual fraud risks are understood and agreed with the respective business heads of AIAPH Group.
Assist in the fraud risk awareness programs in the AIAPH Group by organizing fraud risk awareness campaigns, facilitating relevant trainings, and creating circulars to uphold Zero tolerance approach as mandated in the Anti-Fraud Policy.
Assist in effective fraud risk management strategies and timely deploy these strategies across AIAPH Group
Assist in ensuring that the cost budget in Anti-Fraud operations and initiatives of CIT is based on robust capacity plans and is delivered through a rigorous cost management discipline.
Assist in identifying industry best Anti-Fraud infrastructure and management practices are tabled and are considered for adoption within the AIAPH Group.
Assist the Fraud Investigation Principal in the standardization, automation and consolidation through re-engineering and process improvement initiatives for Anti-Fraud.
Assist Fraud Investigation Principal in maintaining Anti-fraud capabilities, skills and of other fraud investigators in compliance with both internal policies and external regulations.
Assist in improving the operational efficiency and effectiveness of Fraud Investigation Team processes.
Assist with the team's compliance in expense management discipline and enhance capacity planning, forecasting and cost reporting processes.

Other Internal Responsibilities:

Audit-Related: Assist in closing audit findings and recommendations of GIA in relation to the processes of Fraud Investigation Team.
Legal: Coordinate with Legal Office to ensure filing of legal cases within the threshold set by AIA and/or Philam Group in filing a legal case for potential recovery.
Work with Fraud Investigation Principal/Chief Legal Officer in coordinating fraud-related matters to law enforcement agencies, if necessary.
Ensure timely escalation of any important matters and concerns to Fraud Investigation Principal/Chief Legal Officer in relation to the operations of Fraud Investigation Team.
Perform other tasks assigned by the Fraud Investigation Principal/Chief Legal Officer in relation to managing and leading the Fraud Investigation Team.

Minimum Job Requirements:

University degree in Accounting, IT, business process engineering. Special designations such as Certified Public Accountant (CPA) or Certificated Fraud Examiner (CFE) will be an advantage or a graduate of Bachelor of Laws best if already passed the Philippine Bar
The maturity and authority necessary to deal with senior management and sensitive issues.
At least 5 years of relevant work experience in audit, investigations, risk management, or compliance. Anti-fraud related professional experience (fraud prevention, fraud detection, fraud investigation and other anti-fraud initiatives) will be an advantage.
Ability to identify, evaluate and interpret complex financial transactions from the appropriate financial accounting records.
Knowledge in data analytics, computer forensics, and information security is preferred.
Willingness to travel at short notice and spend time alone, acting on own initiative with minimal information and supervision.
Self confident, self motivated and good interpersonal skills to maintain good professional relationships
Ability to work under pressure and meet milestones within reasonable timeline
Background and/or working knowledge on insurance company operations will be an advantage.

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