An experienced professional with a strong background in forensic accounting, fraud investigation, and business administration. Possesses a well-rounded skill set, from leadership and strategic thinking to analytical and interpersonal strengths. Committed to professional integrity, excellence in performance, and continuous growth.
Overview
18
18
years of professional experience
8059
8059
years of post-secondary education
4
4
Languages
Work History
Forensic Consultant
Old Mutual
Johannesburg
03.2024 - Current
Conduct investigations into funeral claims, life claims, and investment claims.
Maintain organized files and record-keeping systems for case tracking and evidence collection.
Perform in-depth investigations by analysing information related to identified cases.
Conduct interviews with external witnesses, obtain affidavits, and probe problem areas to uncover evidence.
Facilitate fraud awareness workshops and alerts to educate stakeholders.
Assess reported cases to determine their merits and formulate investigative strategies.
Gather information, related documents, and proof for identified cases.
Identify irregularities, involved parties, and syndicates in fraud cases.
Conduct root cause analysis and propose actionable recommendations to mitigate risks.
Compile evidence suitable for disciplinary hearings and criminal proceedings.
Testify at internal hearings and criminal proceedings with professionalism and clarity.
Obtain statements from relevant stakeholders, including SAPS and the Insurance Crime Bureau.
Provide regular updates and feedback to clients, ensuring transparency throughout investigations.
Build strong networks and liaise with stakeholders to strengthen collaborative efforts.
Gather information and proof related documents for identified cases.
Identify irregularities and involved parties/syndicates.
Conduct root cause analysis and make recommendations.
Senior Forensic Investigator
Clientele Life
Johannesburg
10.2022 - 03.2024
Plan and conduct forensic audits.
Identify system and internal control weaknesses.
Attend to general forensic administration.
Conduct thorough investigations in accordance with methodologies.
Investigate death and hospital claims.
Maintain files and record-keeping systems.
Investigate actual information on identified cases.
Probe problem areas by conducting interviews with external witnesses and obtaining affidavits.
Provide management with quarterly fraud savings reports.
Perform fraud awareness workshops/alerts.
Assess every reported case to determine its merits.
Gather information and proof related documents for identified cases.
Identify irregularities and involved parties/syndicates.
Conduct root cause analysis and make recommendations.
Compile reports with suggestions on corrective actions, findings, and outcomes.
Provide regular feedback to clients.
Network and liaise with other stakeholders.
Represent Clientele at the Gauteng Insurance Fraud Forum hosted by SAICB.
Recommend staff investigations where applicable.
Forensic Investigator
Barnes Fencing Industries
Kempton Park
03.2022 - 09.2022
Plan and conduct forensic audits.
Conduct thorough investigations in accordance with department methodologies.
Maintain files and record-keeping systems.
Provide fraud awareness training.
Investigate staff members.
Investigate actual information on identified cases.
Probe problem areas by conducting interviews with internal and external witnesses and obtaining affidavits.
Identify patterns or tendencies and make recommendations for preventative measures and areas of risk.
Provide input and assistance to prosecuting and regulatory authorities.
Testify at internal, regulatory, and criminal proceedings.
Draft charges for inclusion in disciplinary hearing charge sheets for the Human Resource Department.
Conduct fraud-related training and awareness interventions.
Forensic Investigator
Avbob
Pretoria
04.2021 - 02.2022
Plan and conduct forensic audits.
Conduct thorough investigations in accordance with department methodologies.
Maintain files and record-keeping systems.
Investigate death claims and brokerage commission fraud.
Investigate external and internal fraud.
Assist claims department with fraud detection.
Provide fraud awareness training to the new employees.
Investigate actual information on identified cases.
Probe problem areas by conducting interviews with internal and external witnesses and obtaining affidavits.
Obtain statements from relevant stakeholders, including SAPS, Insurance Crime Bureau, and NPA.
Identify patterns or tendencies and make recommendations for preventative measures and areas of risk.
Provide input and assistance to prosecuting and regulatory authorities.
Testify at internal hearings and criminal proceedings.
Forensic Investigator
Rand Mutual Assurance
Johannesburg
07.2018 - 02.2021
Conducted fraud investigations and prepared detailed investigation reports for management.
Investigated COID cases, including MVA investigations, injury on duty claims, and medical claims.
Developed and implemented preventive measures to mitigate fraud.
Planned and conducted investigations in line with standard operating procedures, industry best practices, and applicable laws, ensuring thoroughness and expediency.
Analysed data to identify and investigate fraudulent activities.
Gathered information and documented evidence related to identified cases.
Obtained statements from relevant stakeholders, including SAPS and the Insurance Crime Bureau.
Senior Forensic Investigator
Avbob
Pretoria
09.2013 - 06.2018
Plan and conduct forensic audits.
Conduct thorough investigations in accordance with department methodologies.
Maintain files and record-keeping systems.
Investigate death claims and brokerage commission fraud.
Investigate external and internal fraud.
Assist claims department with fraud detection.
Provide fraud awareness training to the new employees.
Investigate actual information on identified cases.
Probe problem areas by conducting interviews with internal and external witnesses and obtaining affidavits.
Obtain statements from relevant stakeholders, including SAPS, Insurance Crime Bureau, and NPA.
Identify patterns or tendencies and make recommendations for preventative measures and areas of risk.
Provide input and assistance to prosecuting and regulatory authorities.
Testify at internal hearings and criminal proceedings.
Open criminal with the SAPS on proven cases.
Claims Investigator
Safrican Insurance Company
Johannesburg
10.2011 - 08.2013
Planned and conducted forensic audits.
Compiled and analysed relevant data.
Managed general forensic administration tasks.
Conducted thorough investigations in accordance with established methodologies.
Maintained files and record-keeping systems.
Investigated actual information on identified cases.
Provided management with advice on fraud prevention methods.
Identified system and internal control weaknesses.
Assessed the risk of fraud in business operations.
Funeral Claims Assessor
Alexander Forbes Financial Services
Johannesburg
11.2010 - 09.2011
Captured funeral, homeplan, and group life assurance claims on the system.
Verified documents related to claims.
Assessed claims for validity.
Authorized claims for payment or declined them as necessary.
Ensured funeral claims were paid within 48 hours and group life claims within the turnaround time.
Calculated salaries for members.
Senior Claims Assessor (Funeral Claims)
Standard Bank Insurance Brokers
Johannesburg
07.2007 - 10.2010
Verified documents related to claims.
Handled queries and authorized claims, ensuring a 48-hour turnaround time.
Supported the manager in handling daily workflow according to company procedures.
Conducted cause analysis on all claim’s complaints.
Authorized and repudiated claims daily.
Updated the attendance register and scheduled Saturday and lunch rosters.
Generated and actioned Maven reports daily.
Ensured all claims were processed in accordance with banking policies and procedures, complying with the FICA and FAIS Act.
Education
Forensic Investigating and Auditing - Fraud Detection, Prevention, and Investigation, Forensic and Investigative Auditing