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  • Posted: Jun 11, 2024
    Deadline: Not specified
  • Never pay for any CBT, test or assessment as part of any recruitment process. When in doubt, contact us

    Imagine a world where people live healthier, more enhanced and protected lives… A world in which each organisation is a powerful influencer and responsible corporate citizen, committed to being a force for social good. As a leading innovator in healthcare, wellness, insurance, investments, financial and life planning, Discovery works ceaselessly to...
    Read more about this company


    Forensic Investigator - Sandton

    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
    • Assertive
    • 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


    • 2 years’ experience in the healthcare environment
    • Clinical qualification
    • Good understanding of claims and NHRPL coding
    • Understanding of healthcare investigations

    Method of Application

    Interested and qualified? Go to Discovery Limited on to apply

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