Junior Desktop Investigator (x2) MMH251124-1

Momentum; Bellville; On-site; ZAR 300 000 - 400 000; Full time

Job summary

A leading financial services company in Bellville is seeking a Forensic Investigator to perform desktop investigations into fraud allegations within the medical aid industry. The ideal candidate will have a degree related to forensics and at least 0 - 3 years of investigative experience. Strong analytical and reporting skills are essential. The role involves significant client interaction and ensuring compliance with service level agreements.

Qualifications

• Must have at least 0 - 3 years forensic or investigative experience.
• ACFE certification is advantageous.
• Knowledge of the medical industry is a plus.

Responsibilities

• Conduct desktop investigations into fraud allegations.
• Compile comprehensive case reports.
• Build relationships with clients and stakeholders.

Skills

Analytical skills

Time management

Organizing and coordinating

Education

Degree in Forensics, Compliance, Accounting, Investigations or related fields

Matric certificate

Tools

MS Excel

MS Word

Job description

Role Purpose

The role incumbent will perform desktop investigations into allegations of fraud, waste, and abuse within the medical aid industry. Must be willing to travel on behalf of the office when required.

Requirements

Formal Qualifications

• Matric certificate.
• Degree in Forensics, Compliance, Accounting, Investigations and Forensic Accounting, Commerce, Auditing or Forensic Auditing.

Specific licensing or registration

• ACFE certification is advantageous.

Knowledge

• Forensic Investigations.
• MS Excel.
• Report writing.
• Medical Industry knowledge (Advantageous).

Skills

• An ability to analyse and interpret large amounts of complex data in Excel.
• Strong time management skills.
• Proven and exceptional organising and coordinating skills.

Experience

• At least 0 - 3 years forensic or investigative experience (commercial and/or desktop).

Duties and Responsibilities

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.
• Preparing; indexing and paginating investigation packs to be assigned to legal; the Filed Investigators or Regulatory bodies.

Client

• 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 in order to ensure that client expectations are managed.
• Participate and contribute to a culture which 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 in order to ensure that clients receive expected service levels at the expected standard.
• Provide management with relevant information to assist with managing client query processes.

People

• Continuously develop own expertise in terms of industry and forensic investigations.
• Participate and contribute to a culture of work centric thinking, productivity, service delivery and quality management.
• Take ownership for driving career development.

Finance

• Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes.