Forensic Investigator MMH251030-1
MomentumCape Town, Western Cape, South Africa7 days ago
Job descriptionAt least 3 years of forensic or investigative experience (commercial and / or desktop). Forensic Investigations Data interpretation Report writing Medical Industry knowledge – advantageous Perform (desktop) investigations into allegations of fraud, waste, and abuse using large data sets from MS Excel and other applications. Conduct investigative interviews with scheme members, healthcare service providers, members, and other third parties to validate findings. Interpret collected data and compile comprehensive case reports using MS Word. Report cases to the relevant Regulatory Bodies or to SAPS. Testify in criminal proceedings against service providers or members being prosecuted by the scheme. Testify and give evidence in civil, regulatory and society hearings against service providers. Prepare, index and paginate investigation packs to be assigned to legal, investigators or regulatory bodies. Build and maintain relationships with clients and internal and external stakeholders. Perform duties within defined turnaround times. Deliver on service level agreements applicable to clients and internal and external stakeholders to ensure client expectations are managed. Participate and contribute to a culture that builds rewarding relationships, facilitates feedback and provides exceptional client service. Continuously monitor case investigation turnaround times and the quality of written reporting. Drive client service delivery goal achievement in line with predefined standards to ensure clients receive expected service levels. Provide management with relevant information to assist with managing client query processes. Continuously develop own expertise in industry and forensic investigations. Participate and contribute to a culture of work‑centric thinking, productivity, service delivery and quality management. Take ownership for driving own career development. Contribute to the development of area specific budgets to minimise expenditure, in alignment with operational plans when requested. Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes. Mid‑Senior level Full‑time Other, Information Technology, and Management
Momentum Cape Town, Western Cape, South Africa
Forensic Investigator (Desktop) MMH -4
Forensic Investigator MMH -1
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 / Qualifications
- Matric certificate.
- Degree in Forensics, Compliance, Accounting, Investigations and Forensic Accounting, Commerce, Auditing or Forensic Auditing.
Experience
Knowledge
Duties and Responsibilities
Client
People
Finance
Seniority level
Employment type
Job function
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Investigator • Cape Town, Western Cape, South Africa
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