Forensic Investigator

2 weeks ago

Pretoria, Gauteng, South Africa Discovery Limited Full time
Press Tab to Move to Skip to Content Link
Select how often (in days) to receive an alert:
Select how often (in days) to receive an alert:

Business Unit:
Discovery Central Services

Function:
Forensics/Fraud/Fiduciary Services

Discovery – Forensics Forensic Investigator – Health About Discovery
Discovery's core purpose is to make people healthier and to enhance and protect their lives.

We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery.

Our fast-paced and dynamic environment enables smart, self-driven people to be their best.

As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.

About Group Forensic Services
Our division is responsible for the management and investigation of any fraud or related offences within the Discovery Group
Key Purpose
This role falls within the Discovery Group Forensics department and reports to the General and Divisional Manager. The successful candidate will be required to investigate all issues pertaining to healthcare fraud
Areas of responsibility may include but not limited to:

Investigating allegations of healthcare fraud against Discovery Doing administrative tasks Following up on leads regarding allegations of healthcare fraud Conducting investigations into all aspects pertaining to healthcare fraud Instituting measures to prevent fraud Confronting perpetrator/s and taking necessary action where applicable Analyzing data to identify possible fraudulent trends i.e.

coding, drugs analysis etc. Collecting, evaluating and handling of evidence Ability to identify fraudulent/suspicious claims profiles Personal attributes and skills – Discovery Person
Plans activities and projects well in advance and takes account of possible changing circumstances Easily establishes good relationships with customers and staff Ability to communicate clearly and concisely Focuses on customer needs and satisfaction Probes for further information or greater understanding of a problem Takes initiative and works under own direction Keeps emotions under control during difficult situations Diplomatic Knowledge of Medical Aid industry Good understanding of healthcare legislation Education and Experience

Minimum:

2 years' experience in the healthcare environment Good understanding of claims and NHRPL coding Understanding of healthcare investigations EMPLOYMENT EQUITY

The Company's approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.
#J-18808-Ljbffr

  • Forensic Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations into possible contraventions of Market Abuse legislation (i.e. insider trading, prohibited trading practices(price manipulation) and publication of false, misleading or deceptive statements, promises and forecasts) and assist with any enforcement proceedings.Person appointed to the position...

  • Internal Forensic Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa MiWay Full time

    Who are we? Grade 12/Standard 10/NQF Relevant tertiary qualification in Forensic and Risk Management will be an advantageMinimum Experience Required Minimum 3 years Investigations / Financial Services Investigations experience Experience/knowledge in MIS/Data analysis/Systems/Payments etc. will be an advantage Any investigative / risk management / internal...

  • Forensic Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Amathalente Recruitment Full time

    Ensure that the performance of the engagement is based on the understanding of the scope as per the engagement letter. Ensure the execution of the client brief in line with the investigation methodology and procedures aligned to the terms of reference, policies and risks identified. Gather, analyse and evaluate evidence as per engagement scope. Maintain a...

  • Assistant Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct or assist with forensic regulatory investigations or preliminary investigations, within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from...

  • Investigator X5

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from such investigations. Persons appointed to...

  • Investigator Boksburg

    2 weeks ago

    Pretoria, Gauteng, South Africa Macsteel Service Centres Sa (Pty) Ltd Full time

    These jobs were popular with other job seekersWe are looking for an Investigator to join the team.Duties & ResponsibilitiesEffectively and efficiently gather evidence, applying forensic and non-forensic methods Timeously submit report(s) on loss control non-compliance issuesAct as advisor to relevant stakeholders on pre-employment and loss control...

  • Senior Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from such investigations. Persons appointed to...

  • Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Kamo Placements Full time

    JOB DESCRIPTION Investigate basic, intermediate and complex matters involving alleged contraventions to the Exchange Control Regulations, 419 fraud schemes and antimoney laundering (AML) enforcement investigations for the approval of the signing officer. Support the signing officer/manager on Financial Intelligence Centre Act 38 of 2001 (FICA) inspections...

  • Forensic Specialist

    2 weeks ago

    Pretoria, Gauteng, South Africa Alintatech Solutions Full time

    Randburg, South Africa | Posted on 01/26/2024 Alinta Tech Solutions (also known as Alinta Tech) is a Managed IT Support Services and Technology Solutions Provider. Our services include comprehensive IT support functions, Recruitment / Outsourced IT staffing and technology solutions designed to support the success and growth of small and medium-sized...

  • Investigator - Enforcement Department

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from such investigations. Persons appointed to...

  • Investigator - Enforcement Department

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from such investigations. Persons appointed to...

  • Investigator - Enforcement Department

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Sector Conduct Authority Full time

    Purpose of the Job:To conduct forensic regulatory investigations within the financial services industry (financial markets, insurance, collective investment schemes, hedge funds, pension funds and financial and advisory services) and to take responsibility for the regulatory and enforcement action, following from such investigations. Persons appointed to...

  • Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa South African Reserve Bank Full time

    The main purpose of this position is to investigate alleged contraventions with the Exchange Control Regulations, recoup capital exported from South Africa in contravention of the Exchange Control Regulations and/or 419 fraud schemes and enforce anti money laundering legislation onto Authorised Dealers in foreign exchange with limited authority.Detailed...

  • Associate Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa South African Reserve Bank Full time

    The main purpose of this position is to investigate, under limited supervision of a more senior investigator, alleged contraventions of the provisions of the Exchange Control Regulations (Regulations), recoup capital exported from South Africa in contravention of the Regulations and/or 419 fraud schemes and enforce anti money laundering legislation onto...

  • Associate Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa South African Reserve Bank Full time

    The purpose of this position is to investigate, under limited supervision of a more senior investigator, alleged contraventions of the provisions of the Exchange Control Regulations (Regulations), recoup capital exported from South Africa - in contravention of the Regulations and/or 419 fraud schemes - and enforce anti-money laundering legislation onto...

  • Investigation Support Specialist

    2 weeks ago

    Pretoria, Gauteng, South Africa Financial Intelligence Centre (FIC) Full time

    Lead the technical execution of highly complex multi-disciplinary analysis with informed conclusions in support of the Financial Intelligence Centre's mandate.TECHNICAL COMPETENCIES- Applied working knowledge of the Constitution, Criminal Procedure Act, the National Strategic Intelligence Act and the intelligence cycle, the POCA and FIC Act as well as South...

  • Associate Investigator

    2 weeks ago

    Pretoria, Gauteng, South Africa Ford Motor Company Full time

    POSITION DETAILS Conduct and oversee complex investigations to include criminal acts, conflict of interest, fraud, theft, embezzlement, inappropriate use of Company resources, and other substantial violations of Company policy. Receive tip call information and handle accordingly. Conduct investigations that handle noncompliance with all Company policies,...

  • Head of Investigation Unit

    2 weeks ago

    Pretoria, Gauteng, South Africa UNHCR Full time

    Site South Africa, Free State, Pretoria:Sector:Nonprofit/Community/Social Services/International Cooperation:Role:Other:Date:03/08/2023 (Expiry date:14/08/2023)Organizational Setting and Work Relationships- and outside the UN system. Provide advice and guidance to UNHCR personnel and implementing partner staff members on the investigation process and how to...

  • Financial Crime Manager

    2 weeks ago

    Pretoria, Gauteng, South Africa Markalao Recruitment Full time

    Minimum Requirements Bachelors Degree in Fraud Examination, Financial Forensics, Fraud Investigation, Law, Criminology, or other similar qualification. Certified Fraud Examiner (CFE) Extensive training in Criminal Justice, Forensic investigations, and Prevention. Work Exeprience 5-7 years extensive experience in combatting bank related crimes and applying...

  • Senior Manager: Investigations Data Analytics

    2 weeks ago

    Pretoria, Gauteng, South Africa Auditor-General Of South Africa Full time

    Requirement Overview Investigations (IBU) Role is:"Proactive risk identification and response to high risk areas susceptible to fraud, thereby adding value to Regularity Audit by enhancing the consideration of fraud risks factors during the audit process and mitigating the audit risk"The IBU is in need of a data analytics specialist The purpose of this role...