Loss and Fraud Officer

7 months ago

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

Detailed job description 1. Capturing the risks identified during the Fraud Risk Assessment (FRA) process which requires you to: Research the relevant service area to gain an understanding of the work undertaken prior to any meetings and discuss any relevant findings with the Fraud Specialist prior to the meetings. Review processes and procedures within the Service Area to highlight system weaknesses that have allowed or could allow fraud and loss to be perpetrated Capture the risks that are discussed in FRA meetings with the Services, ensuring you document the risks clearly and concisely to meet the criteria of the Cabinet Office FRA. Capture and articulate all relevant controls for each risk, explaining what they do and what they dont do, including the limitations of the controls.

Articulate the residual risk which describes how the fraud / loss can still occur despite the controls in place. Share the risks with the Fraud Specialist who are responsible for leading the FRA meetings, scoring the risks and sign off the FRA prior to it being shared with the relevant service area for comment. 2. The Consolidated Data Returns (CDR) submission to the Cabinet Office which requires you to: Collate data from all relevant service areas to create the quarterly submission.

Communicate relevant deadline dates to the service areas and send reminders so we achieve the deadline date. Prepare and submit the quarterly CDR to NHS Counter Fraud Authority (NHSCFA) who will return it to the Cabinet Office. Update the section of the NHSBSA Loss & Fraud Workplan with the CDR figures for the quarter. 3.

Produce Training Materials on a variety of fraud, bribery and loss topics - this can include money laundering, bribery, witness statements and false documents. This will require you to: Research topics Liaise with relevant external agencies such as Home Office, Crown Prosecution Service, NHSCFA for examples Prepare training materials Assist the LFP Manager and / or Fraud Specialist in delivering the sessions by arranging the sessions, sending out invites, circulating materials, circulating feedback forms and collating responses then updating the spreadsheet. 4. Deliver fraud, bribery, corruption and loss awareness sessions internally and externally.

**You will be responsible for**: Creating awareness material, tailoring to suit the audience and delivery style Setting up awareness sessions with the services outlined in the NHSBSA Loss & Fraud Workplan or as directed by the LFP Manager and Fraud Specialists Delivering awareness sessions Issuing feedback forms and in the absence of the Fraud Assistant, update the spreadsheet with all feedback then amend the material depending on feedback. 5. Review and monitor the content of the LFP Team eLearning modules to ensure they are up to date and are being completed across the business. 6.

Monitoring and maintaining the fraud and bribery risks contained in all Service Area Risk Registers (SARR) including the NHSBSA LFP Team SARR. 7. Undertake investigations where you will: Record referrals in accordance with the documented processes. Analyse possible avenues and methods of investigation to obtain evidence through various relevant means.

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. 8. Monitor the progress of the information and intelligence being received into the LFP ensuring the Fraud Assistants are processing initial referrals in accordance with the NHS Counter Fraud Manual, Guidance from NHSCFA, CPIA, NHSBSA Referral for Investigation Process and in accordance with GDPR. You will monitor and review the referrals on CLUE to ensure what is detailed on the LAN is recorded on CLUE.

Support the Fraud Assistant on progressing rejected referrals, referrals received in error and such like. 9. Prepare and present reports, submissions and other documents as required, this will include: Quarterly reporting to the Service areas on referrals received Responding to requests for information such as Freedom of Information (FOI) where you will collate the information and prepare a submission for Fraud Specialist or LFP Manager approval prior to sending to requester. 10.

Manage and analyse large amounts of data, draw sound conclusions and present findings in an easily understandable way. 11. Design spreadsheets to capture information and reporting, this will include working with colleagues in Management Information Services and Data & Insight to produce dashboard and reports in Shiney to highlight the benefits of the proactive and reactive work being undertaken. 12.

Provide clear, complete and accurate information for internal and external senior management and professionals. 13. Promote and contribute to the development of policies, practices and procedures across the NHSBSA. 14.

To support Fraud Specialists and LFP Manager at Due Diligence meetings by

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