Consultant: Forensic Investigations

2 weeks ago

Centurion, South Africa PPS Recruitment Full time

**Job Advert Summary**:
Applications are invited for the above-mentioned position, to be filled as soon as possible.

**Minimum Requirements**:
**Qualifications & Experience**
- Bachelor’s Degree in Forensic or equivalent
- Certified Fraud Examiner (CFE) preferable
- Relevant post graduate degree will be advantageous.
- 5 years’ experience in similar role
- Experience in working in the insurance or banking environment.
- Strong communication skills (written & verbal)
- Strong networking and relationship building (Internal & external)
- Strong analytic and problem-solving skills
- Adaptability to different stakeholders, audiences, and environments
- Data analysis (conversant with pivot tables and other analysis tools)
- Ability to evaluate, identify and assess trends and patterns requiring further investigation.
- Ability to present case using the relevant presentation tools.
- Interpersonal skills to persuade and ensure compliance with established methods, models and concepts of investigation, to discussion among authorities involved in an investigation and reconcile differing interpretation of evidence.
- Ready to work in a challenging environment.
- Advanced forensic investigation capability and strategy implementation
- Identification of fraudulent activity / behaviour
- Formulation of investigation with other stakeholders (audit/HR/Insurance)
- Adapting and responding to change
- Commercial Acumen
- Persuading and Influencing
- Deciding and Initiating Action
- Collaboration

**Duties and Responsibilities**:
**Key Responsibilities**:
**Forensics Investigations**
- Must provide assistance in detecting and investigation of fraud and suspected fraud and abuse within PPS, from initiation to finalisation of court cases. This would include the interviewing of witnesses and suspects as well as the examination of supporting evidence and documentation.
- Assisting with the investigation of leads
- Must be able to perform specialised investigations.
- Ability to assess and interpret evidence, maintaining the integrity of the investigation, evaluating results, and determining cause, analyse the circumstance and make valid recommendations.
- Must be able to perform investigations in such a way that the image of PPS is not detrimentally affected.
- Execute and actively participate in complex investigations.
- Compiling case dockets for criminal prosecution
- Produce an investigative reporting.

**Stakeholder Management**
- Responsible for claims investigations within the agreed time frame / SLA
- To provide the Claims department with properly investigated cases that will enable the assessors or requester to assess the claim and pay valid claims.

**Data & Reporting**
- Must be able to formulate data extracts and analysis to detect invalid claims and create data intelligence ability to ensure preventative management of claims investigations.
- Do research on best practices and new trends in the industry.
- Conduct audits and fraud risk assessments where necessary, report findings or deviations and assist in implementing recommended controls.
- Preparing comprehensive audit and forensic reports, as may be required to make regarding action to be taken regarding the investigation.
- Prepare reports for different departments or upper management.

  • Trainee- Desktop Forensic Investigator

    1 month ago

    Centurion, South Africa AGON Consult Full time

    Trainee Desktop Forensic Investigator - Life Insurance **Minimum Requirements**: - 3yr degree/diploma - Excellent Communication and Interviewing skills - Proficiency in **English; isiXhosa, isiZulu is a must**: - Experience in report writing - Competent in MS Word and MS Outlook as well as Excel **Salary**: R100,000.00 - R240,000.00 per month Ability to...

  • Internal Auditor

    1 month ago

    Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: **Minimum Requirements**: - Grade 12; PLUS - Completed Internal Audit degree or commercial degree. - 1 to 3 years of experience in a Medical Aid Scheme environment is advantageous. - 3 to 5 years of internal audit experience is required. - IT audit experience will be advantageous. - Knowledge of ISO 9001 will be an advantage. -...

  • Claims Consultant

    1 month ago

    Centurion, South Africa Momentum Insure Company Limited Full time

    **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 business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** Our consultants...

  • Implementation Consultant

    1 month ago

    Centurion, South Africa Planet10 Full time

    Currently looking for an experienced Implementation Consultant who willbe responsible for gathering business requirements, analysis, and implementation and managing applications within the firm.The role will also involve establishing and supporting software development methodology and guidelines. Duties and Responsibilities:The position will be...

  • Accountant

    4 weeks ago

    Centurion, South Africa Dante Personnel Full time

    Minimum requirements: Fluent in Afrikaans and EnglishMatricRelated financial degree (BCom)SAIPA / SAICA completed articles5 years' + post article experience (beneficial)Responsibilities:Working knowledge of SARS related processes and proceduresGood Excel skillsMonthly management reports Ensure compliance with regulationsBank, Debtors, Creditors...

  • Accountant

    3 weeks ago

    Centurion, South Africa Dante Personnel Full time

    Minimum requirements: Fluent in Afrikaans and English Matric Related financial degree (BCom) SAIPA / SAICA completed articles 5 years' + post article experience (beneficial) Responsibilities: Working knowledge of SARS related processes and procedures Good Excel skills Monthly management reports Ensure compliance with regulations Bank, Debtors, Creditors...

  • Consultant: Clinical Auditor

    1 month ago

    Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: - Nursing qualification. - Clinical Auditing experience - Minimum of 2 years' experience in the managed care environment **Duties and Responsibilities**: - Conduct clinical audits on claims and costs to ensure...

  • Accountant

    4 weeks ago

    Centurion, South Africa Adzuna ZA B C2 Full time

    Minimum requirements: Fluent in Afrikaans and EnglishMatricRelated financial degree (BCom)SAIPA / SAICA completed articles5 years' + post article experience (beneficial)Responsibilities:Working knowledge of SARS related processes and proceduresGood Excel skillsMonthly management reports Ensure compliance with regulationsBank, Debtors, Creditors...

  • Accounting Officer: Billing

    4 weeks ago

    Centurion, South Africa BCXP Full time

    Business unit, Department, Reporting Business Unit Finance Job grade OP1 Core Description Supporting BCX finance by preparing gathering and capturing all the invoicing information for solutions at an advanced level to ensure accurate and complete revenue generation. To ensure that customer expectations are met by supporting and providing solutions to...

  • Spec: Pre-sales

    1 month ago

    Centurion, South Africa BCXP Full time

    Business unit, Department, ReportingBusiness UnitCloud Platform Services (CPS)DepartmentITSSReports toSenior Manager: HPE / CISCO/Huawei/Dell & other TechnologiesJob Grade/LevelS5 Core DescriptionTo provide support to the Sales effort by providing technical and client specific solution assistance to BCX Engagement. This is done through investigation,...

  • Ops Spec: Technical Analyst

    4 weeks ago

    Centurion, South Africa BCXP Full time

    Structure, Grade & Reporting Job grade/level S6 Business Unit Digital Platform Solutions Business Unit Digital EXA Position reports to Product Manager: E-solutions Span of Control 0 Level of Engagement Client, Employees and Line Manager Core Description The main objective of the Technical Analyst is to ensure that all development and testing deliverables are...

  • Claims Manager: Building at Momentum Insure

    4 weeks ago

    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** **Role Purpose** To effectively manage personal lines claims, the processes, procedures, systems and people, in order to maximise gains, minimise losses and costs. **Requirements**: - Grade 12 (Matric) - Leadership or Management Qualification advantageous - At least 2 years’ of experience at a management level specifically in...

  • Executive: IT Gov, Risk and Compl

    1 month ago

    Centurion, South Africa Telkom SA Limited Full time

    **Core Description**: **Competencies**: **Functional Knowledge** Business Threat Identification and Communication; Information Risk Assessment and Management; Regulatory and Legal Frameworks; Change Management and Change Risk; GRC and Security Standards, Policies and Practices; Information Risks within Systems and IT Architecture. Information Risks within...

  • Senior Npo Specialist

    1 month ago

    Centurion, South Africa NOKIA Full time

    **Come create the technology that helps the world act together** Nokia is committed to innovation and technology leadership across mobile, fixed and cloud networks. Your career here will have a positive impact on people’s lives and will help us build the capabilities needed for a more productive, sustainable, and inclusive world. We challenge ourselves to...

  • Administration Manager: Installations

    1 month ago

    Centurion, South Africa Momentum Corporate Full time

    **Introduction**Role Purpose** - The purpose of the role is to manage the operational execution of the New Installations and Benefit Improvement environment to ensure effective and consistent client service delivery.**Requirements**: - Grade 12 or equivalent - Business related degree (advantageous) or a Diploma - 5- 7 years' client service experience in the...