Loss Recovery Service

6 months ago

Newcastle upon Tyne, United Kingdom NHS Business Services Authority Full time

Loss and Fraud Officer

**NHS AfC**: Band 5

Permanent

37.5 hours per week

If you have excellent communication, IT, analytical and problem-solving skills, with knowledge of investigating fraud and investigative procedures, the NHS Business Services Authority (NHSBSA) has an opportunity for you.

The NHSBSA plays an important role in tackling fraud and error across the wider NHS by reducing opportunities for fraud and error and improving the way that fraud and error risks are addressed.

We are currently recruiting for two Loss and Fraud Officer to work within the NHSBSA Loss and Fraud Prevention Team on a 12-month fixed term contract.

The role involves educating customers on NHS Prescription Charges, potential exemptions and holding to account those who deliberately avoid paying NHS prescription charges. The role involves undertaking criminal investigations in accordance with the legislation and guidance from NHS Counter Fraud Authority.

The post is full time and involves travel and requires a full valid driving licence.

What do we offer?
- 27 days leave (increasing with length of service) plus 8 bank holidays
- Flexi time
- Hybrid working model (working remotely and in the office when required)
- Career development
- Active wellbeing and inclusion networks
- Excellent pension
- NHS Car lease scheme
- Access to a wide range of benefits and high street discounts

**As a Loss and Fraud Officer, you will be responsible for**:

- Investigating patient fraud allegations identified by Health Exemption Services within operational and legislative guidelines.
- Working with stakeholders within Health Exemption Services to carry out appropriate fraud and loss awareness work.
- Presenting evidence to prove or disprove allegations, ensuring appropriate sanctions are considered.
- Promoting and contributing to the development of policies, practices and procedures within the Health Exemption Verification Team.
- Communicating with potentially vulnerable people.
- Using various questioning technics to extract information.
- Analysing information and deciding next steps.
- Managing own workload and an ability to prioritise.
- GDPR and requesting information in accordance with legislation.

The post holder will either hold an Accredited Counter Fraud Specialist (ACFS) certificate or must successfully complete the ACFS training course within 6 months of commencing post.

Applicants must be available to attend a face-to-face interview at Stella House.

At the NHS Business Services Authority (NHSBSA) we deliver a range of essential national services to NHS organisations and contractors, patients and the public.

You may already be using some of our services. Do you have a prescription pre-payment certificate? Perhaps you found this vacancy through NHS Jobs? We’re behind these, and much more.

Being one of the UK’s Best Big Companies to work for, our values are to be Collaborative, Adventurous, Reliable and Energetic. We CARE about what we do and support each other in achieving our objectives.

Our people are the heart of our organisation. We strive to ensure they feel trusted, valued and empowered. We’re passionate about nurturing and developing people. When you join us, we want you to grow, and we offer many opportunities for you to do that.

We are the NHS delivering for the NHS.
1. To work with members of the Health Exemption Services carrying out appropriate fraud awareness work.
2. To investigate, within operational and legislative guidelines to the highest standards, patient fraud allegations identified within Health Exemption Services. Ensure that appropriate civil and/or criminal remedies are applied by the following means:

- Analyse possible avenues and methods of investigation to obtain evidence through various relevant means.
- Convert technical information into plain English, suitable for presentation at Court.
- Prepare and present briefings to staff and police in relation to arrests and interviews with suspects.
- Where evidence has been obtained following such procedures ensuring that the integrity of the evidence is maintained in accordance with NHS Counter Fraud Authority (NHSCFSA) policy.
- Plan and conduct recorded interviews with suspects either at police stations or NHS premises in accordance with the Police and Criminal Evidence Act (1984).
- Construct prosecution files and submit to Crown Prosecution for their consideration.
- Maintain investigation files and evidence with due regard to the Criminal Procedures Investigation Act 1996, including management and disclosure of unused material in accordance with the act.
- Manage and prioritise own caseload, adhering to non-negotiable deadlines imposed by courts and police.

1. Attend criminal and civil courts, in the capacity of witness and/or case officer to give evidence competently, including in cross examination. Provide guidance, advice and instructions to Counsel and other legal professionals before and during criminal and civil proceeding

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