Senior Forensic Investigator — Fraud & Compliance

Momentum Health; Cape Town; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A healthcare organization in Cape Town is seeking a forensic investigator to perform complex investigations into fraud and abuse in the medical aid industry. The candidate will need to analyze data, conduct interviews, and potentially testify in court. A relevant degree and 3+ years of investigative experience are essential, alongside strong analytical and organizational skills. This role is crucial for maintaining compliance and delivering exceptional client service.

Qualifications

• At least 3 years of forensic or investigative experience (commercial and/or desktop).
• Medical Industry knowledge – advantageous.

Responsibilities

• Perform complex desktop investigations into allegations of fraud, waste, and abuse.
• Conduct investigative interviews with relevant parties to validate findings.
• Interpret collected data and compile comprehensive case reports.
• Testify in various legal proceedings.

Skills

Forensic Investigations

Data interpretation

Report writing

Strong time management

Organizing and coordinating skills

Education

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

Matric certificate

Tools

MS Excel

MS Word

Job description

A healthcare organization in Cape Town is seeking a forensic investigator to perform complex investigations into fraud and abuse in the medical aid industry. The candidate will need to analyze data, conduct interviews, and potentially testify in court. A relevant degree and 3+ years of investigative experience are essential, alongside strong analytical and organizational skills. This role is crucial for maintaining compliance and delivering exceptional client service.