Senior Loss and Fraud Officer

**In this role, you are accountable for**: 1. To assist in loss and fraud activities such as completion of Fraud Risk Assessments (FRAs), Service Reviews and Service Area Risk Registers (SARR) this will include capturing fraud, bribery, corruption, and loss risks; ensuring these are recorded correctly then controls identified, implemented, and monitored. 2. Full line management responsibility of junior members of the NHSBSA LFP Team.
3. To collate figures and information from the across the NHSBSA to submit to the Cabinet Office by the defined deadlines for activities such as Consolidated Data Request (CDR) and Functional Standards Return. 4. Assist the Fraud Specialists in embedding fraud prevention in new services and making changes to existing services by exploring emerging technology to validate and prevent fraud and loss.
5. Complete due diligence such as completing the key lines of enquiry (KLOE) process which includes attending meetings, recording fraud prevention, detection and investigation work and identify possible reporting which may detect fraud. 6. Create and deliver fraud, bribery, corruption, and loss awareness presentations.
7. To investigate, within operational and legislative guidelines to the highest standards, all allegations of fraud and bribery in the NHS. 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.
Maintain investigation files and evidence with due regard to the Criminal Procedures Investigation Act (CPIA) 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. 8. 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 proceedings. 9. Provide continuous support, advice, and guidance, and manage the expectations of, witnesses and victims, from the time of initial contact until after the conclusion of an investigation including any court process. 10.
Undertake duties with due regard to patient care and safety, particularly in terms of clinical circumstance, sensitivity, and confidentiality, in accordance with Data Protection legislation and the NHS Confidentiality Code of Practice. 11. Carry out the responsibilities of the post with full and due regard to NHSBSA policies and procedures and negotiated agreements including those on Equal Opportunities and Health and Safety. 12.
Maintain an up to date working knowledge of all relevant and appropriate legislation, standards, and procedures, including NHS structure, policy, detection, and investigative methods. 13. Maintain a good knowledge of available Information Technology and how it can best be used in the detection and investigation of fraud and to present data in a clear and appropriate format, often reflecting specific requirements. 14.
Review processes and procedures across the NHSBSA to identify system weaknesses where fraud, bribery, corruption, and loss could occur. Ensure these risks are recorded correctly and make recommendations to reduce and / or eradicate the risk. 15. Undertaken fraud and error measurement exercises in response to risks identified and ensure outputs such as measurements and benefits are reported on.
16. Prepare and present reports, submissions and other documents as required. Provide clear, complete, and accurate information for internal and external senior management and professionals. 17.
Ability to manage and analyse large amounts of data, draw sound conclusions and present findings in an easily understood format to direct the LFP Team proactive initiatives. 18. Promote and contribute to the development of policies, practices, and procedures within the LFP Team. 19.
Work outside normal office hours when required, which will occasionally necessitate extended hours and possibly weekends. 20. Frequent travel and overnight absence from home. 21.
Appropriate use, maintenance, and security of NHSBSA premises, assets, evidence, exhibits, and equipment ensuring the integrity and continuity of evidence at all times. 22. Responsible for personal development. Undertake relevant training as identified with your line manager.
23. To work in circumstances where there is potential to encounter hostile situations.