Forensic Investigator

Introduction

Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables businesses and people from all walks of life to achieve their financial goals and life aspirations.

We help people grow their savings, protect what matters to them and invest for the future.

We help companies and organisations care for and reward their employees and members.

Through our own network of advisers or via independent brokers and utilising new platforms Momentum Metropolitan provides practical financial solutions for people, communities, and businesses.

Disclaimer

As an applicant, please verify the legitimacy of this job advert on our company career page.

Role Purpose

The role incumbent will perform complex desktop investigations into allegations of fraud, waste, and abuse within the medical aid industry.

The successful candidate will be required to testify and give evidence in court and various regulatory disciplinary proceedings based on the case reports prepared by the candidate.

Must be willing to travel on behalf of the office when required.

Requirements

Matric certificate

Degree in Forensics, Compliance, Accounting, Investigations and Forensic Accounting, Commerce, Auditing or Forensic Auditing

Experience

At least 3 years of forensic or investigative experience (commercial and / or desktop)

Knowledge

Forensic Investigations

Data interpretation

Report writing

Medical Industry knowledge – advantageous

Duties & Responsibilities

Internal Process :

• Performing (desktop) investigations into allegations of fraud, waste, and abuse using outputs of large data sets from MS Excel and other applications.
• Conducting investigative interviews with scheme members, healthcare service providers, members, and other third parties to validate findings.
• Interpreting collected data and compiling comprehensive case reports using Ms Word.
• Reporting cases to the relevant Regulatory Bodies or to SAPS.
• Testifying in criminal proceedings against service providers or members being prosecuted by the scheme.
• Testifying and giving evidence in civil, regulatory, society etc. hearings against service providers.
• Preparing, indexing and paginating investigation packs to be assigned to legal; the Filed Investigators or Regulatory bodies.

Client :

People :

Finance :

Competencies

#J-18808-Ljbffr