Forensic Investigator Intern X3 at Momentum Metropolitan Holdings Limited

Role Purpose    

• To provide administrative support to the GEMS Claims Risk Management team in the desktop forensic investigations space.

Requirements    

• Matric / Grade 12 Certificate (essential).
• Diploma or degree in Forensic science, law, risk management, auditing or any other relevant field of study (essential).

Duties & Responsibilities    

• Process
• Support Investigators with Case Report preparation.
• Index and paginate case files, packs, and briefs for external service providers and regulators.
• Ensure accurate document management and record-keeping for investigative matters referred to service provider network.
• Load and maintain investigative filters and recon reports.
• Assist in identifying trends and irregularities in claims data.
• JIRA Complaint Coordination.
• Track and manage responses for Fraud, Waste & Abuse (FWA)-related complaints logged on JIRA.
• Liaise with internal stakeholders to ensure timely and accurate resolutions.
• Minute taking at scheme meetings.
• Scheme report compilation.
• Support the team in maintaining service level agreements (SLAs) for older and backlog cases.
• Other ad hoc responsibilities on behalf of the Team.

Client

• Build and maintain relationships with clients and internal and external stakeholders.
• Deliver on service level agreements applicable to clients and internal and external stakeholders in order to ensure that client expectations are managed.
• Make recommendations to improve client service and fair treatment of clients within area of responsibility.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Continuously monitor turnaround times and quality standards and resolve issues speedily to enhance client service delivery.
• Drive client service delivery goal achievement in line with predefined standards in order to ensure that clients receive appropriate advice and after sales service.
• Manage client query processes and ensure that queries are tracked, accurately resolved and used as a mechanism to improve client service and business processes.

People

• Continuously develop own expertise in terms of industry and subject matter development and application thereof in an area of specialisation.
• Positively influence and manage change and offer administrative support where required.
• Contribute to continuous innovation through the development, sharing and implementation of new ideas and involvement of colleagues and staff.
• 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.
• Provide input into the risk identification processes development and communicate recommendations in the appropriate forum.
• Contribute to the development of area specific budgets to minimise expenditure, in alignment with operational plans.
• Identify solutions to enhance cost effectiveness and increase operational efficiency.
• Implement and provide input into governance processes, systems and legislation within area of specialisation.
• Escalate unresolved policy and governance compliance issues via appropriate channels for investigation and resolution purposes.
• Provide input into the risk identification processes development and communicate recommendations in the appropriate forum.

Competencies    

• Problem solving skills
• Critical thinking skills
• Analytical skills
• Data analysis skills

Closing Date    

• 2026/03/04