Latest Opportunities at Momentum Metropolitan Holdings Limited

Role Purpose    

• The Senior Java / Angular Engineer is responsible for applying deep technical expertise to design, build, and evolve modern, service-based applications that reduce platform coupling and enable scalable, modular integration across the enterprise. The role focuses on delivering high-quality front-end and back-end solutions using Angular, Java, and associated cloud-native technologies.
• This position plays a critical role in shaping solution design, influencing architectural direction, and contributing to the long-term evolution of Momentum’s technology landscape. The incumbent is expected to operate across the full software development lifecycle, combining hands-on delivery with thoughtful technical leadership and collaboration across business and technology teams.

Requirements    

Education:

• Bachelor’s or Master’s degree in Computer Science, Information Systems, or a related discipline, or equivalent experience gained within the financial services sector.
• Minimum of 8 years’ professional experience in Java and JavaScript development within financial services, investment platforms, or comparable regulated environments.
• Proven experience designing and delivering enterprise-grade applications across front-end and back-end layers.
• Exposure to modern integration patterns and service-oriented or microservices-based architectures.

Certifications:

• Relevant Java and/or JavaScript certifications are advantageous.

Technical Expertise:

• The role requires strong practical capability across modern application development and cloud-native technologies, including:
• Web technologies: HTML, CSS, JavaScript, HTTP/HTTPS protocols
• Component-based frontend frameworks, such as Angular or React.
• Backend NodeJS frameworks such as Express
• Java frameworks such as Spring
• Relational databases and SQL
• Containerisation and orchestration (e.g. Docker)
• Source control using Git
• Unit testing frameworks (Jest, JUnit, Mockito)
• Openness and interest in AI-assisted tools such as Github CoPilot and Claude Code.

Duties & Responsibilities    

Software Design & Development:

• Design, implement, and maintain high-quality Java and Angular applications across front-end and back-end layers.
• Apply appropriate architectural and design patterns to deliver scalable, maintainable solutions.
• Integrate developed components into fully functioning systems aligned to enterprise standards.
• Ensure solutions meet functional and non-functional requirements, including performance, security, and resilience.

Engineering Quality & Verification:

• Define and uphold unit and integration testing strategies to ensure solution correctness and stability.
• Maintain strong coding standards with emphasis on clarity, maintainability, and testability.
• Troubleshoot, diagnose, and resolve application defects and system issues.
• Actively incorporate user feedback and operational insights to improve solution robustness over time.

Architecture, Design & Standards:

• Produce and maintain technical design artefacts and architectural documentation.
• Participate in solution and architectural design sessions, contributing informed technical perspectives.
• Interpret and apply UML artefacts and design models.
• Support alignment to agreed architectural principles, frameworks, and technical standards.
• Reinforce development guidelines, best practices, and engineering standards across the team.

Platform Evolution & Innovation:

• Analyse trends, platform metrics, and system behaviour to inform optimisation initiatives.
• Design and propose improvements that address key business challenges and support strategic objectives.
• Stay current with emerging technologies, tooling, and industry practices relevant to digital and financial platforms.
• Explore and propose innovative approaches to meet evolving client and business needs.

Stakeholder Engagement & Collaboration:

• Communicate technical options, constraints, and trade-offs clearly to business and technical stakeholders.
• Work collaboratively across teams to support effective delivery and system integration.
• Support shared ownership of outcomes and contribute positively to team dynamics.

Operational Support & Risk Management:

• Provide support for production systems, including enhancements and defect remediation.
• Identify technical and delivery risks early and escalate appropriately.
• Ensure adherence to security principles, compliance obligations, and operational controls.
• Contribute to technology roadmaps and support alignment with broader IT strategies.

Competencies    

• Proactive and self-directed approach to work
• Structured, analytical problem-solving capability
• Strong focus on delivery outcomes and business value
• Flexibility in approach and ability to adapt under changing conditions
• High levels of accountability and ownership
• Resilience and ability to perform effectively under pressure
• Clear and effective communication skills
• Strong collaboration and teamwork mindset
• Ongoing commitment to learning and technology currency
• Ability and willingness to coach and mentor team members

Closing Date    

• 2026/05/07

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Role Purpose    

• We are seeking a detail-oriented and experienced Financial Accountant to join our team at Momentum Investments. The ideal candidate will be responsible for the full accounting and financial control function for an Asset Manager. Attention to detail and meeting deadlines are essential. This role involves working closely with the finance team to support overall financial operations and contribute to the company's financial health. This role will report directly into the Financial Controller

Requirements    

• Bachelor's degree in accounting, Finance, or related field. Professional accounting certification (e.g., CA SA, CPA, ACCA) is preferred.
• A minimum of 3-5 years' relevant financial accounting experience (in the  Investment Management / industry is a requirement). Proven experience with financial reporting, budgeting and tax compliance.
• Experience in accounting for foreign entities and foreign exchange will be advantageous. 

Knowledge: 

• JDE knowledge will be an advantage.
• Sound knowledge of accounting principles and practices.
• Solid Excel knowledge with basic to advanced use of functions.
• In depth knowledge of IFRS, accounting principles and reporting standards 

Duties & Responsibilities    

• Financial Reporting: Prepare and analyse financial statements, ensuring accuracy and compliance with relevant accounting standards. 
• General Ledger Management: Maintain and reconcile general ledger accounts, ensuring accurate and timely posting of transactions. 
• Budgeting and Forecasting: Assist in the preparation of budgets and financial forecasts, monitoring variances and providing analysis.
• Accounts Payable and Receivable: Manage accounts payable and receivable processes, including invoice processing, payment collections, and vendor management.
• Tax Compliance: Ensure compliance with tax regulations, preparing and filing tax returns and related documentation.
• Audit Support: Assist with internal and external audits, providing necessary documentation and support to auditors.
• Financial Analysis: Conduct financial analysis to support decision-making processes, identifying trends and providing insights.
• Policy and Procedure Development: Develop and implement accounting policies and procedures to ensure efficient and effective financial operations.
• Internal Financial Control: Refining and maintain the internal financial control monitoring, reporting and auditing frameworks.
• System Maintenance: Utilize and maintain financial software systems, ensuring data integrity and accuracy.
• Team Collaboration: Work closely with the finance team and other departments to support overall financial operations and achieve business objectives.
• Accurately process month-end entries to ensure all financial accounting transactions supporting financial flows is completed up to the Trial Balance stage.
• Release monthly payments to Fund Managers and creditors on schedule to support financial operations and maintain cash flow.
• Oversee daily and monthly bank reconciliations for both local and offshore accounts, ensuring accuracy and timely resolution of discrepancies.
• Prepare monthly VAT reconciliations and SARB submission, ensuring compliance with tax obligations and accuracy in reporting.
• Prepare tax calculations and journals.
• Provide comprehensive information to Auditors during the annual audit, facilitating a smooth and efficient audit process and ensuring transparency. 

Competencies    

• Financial Acumen: Deep understanding of financial principles and practices.
• Analytical Thinking: Ability to analyse financial data and provide meaningful insights.
• Attention to Detail: High level of accuracy in financial reporting and record-keeping.
• Problem-Solving: Strong problem-solving skills to identify and resolve financial issues.
• Communication: Effective communication skills to convey financial information clearly.
• Team Collaboration: Ability to work collaboratively with the finance team and other departments.
• Ethical Conduct: Commitment to maintaining ethical standards and confidentiality in financial matters. 

Skills: 

• Strong knowledge of accounting principles and standards.
• Proficiency in accounting software and financial management systems.
• Excellent analytical and problem-solving skills.
• Attention to detail and high level of accuracy.
• Leadership and collaboration:
• Provide technical guidance and mentorship to junior accountants and finance administrators
• Collaborate cross functionality with other departments to ensure alignment and financial transparency
• Uphold the organizations values and promote a culture of accountability and excellence
• Strong communication and interpersonal skills. 

Closing Date    

• 2026/05/08

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Role Purpose    

• We are seeking a detail-oriented and experienced Financial Accountant to join our team at Momentum Investments. The ideal candidate will be responsible for the full accounting and financial control function for an Asset Manager. Attention to detail and meeting deadlines are essential. This role involves working closely with the finance team to support overall financial operations and contribute to the company's financial health. This role will report directly into the Financial Controller

Requirements    

• Bachelor's degree in accounting, Finance, or related field. Professional accounting certification (e.g., CA SA, CPA, ACCA) is preferred.
• A minimum of 3-5 years' relevant financial accounting experience (in the  Investment Management / industry is a requirement). Proven experience with financial reporting, budgeting and tax compliance.
• Experience in accounting for foreign entities and foreign exchange will be advantageous. 

Knowledge: 

• JDE knowledge will be an advantage.
• Sound knowledge of accounting principles and practices.
• Solid Excel knowledge with basic to advanced use of functions.
• In depth knowledge of IFRS, accounting principles and reporting standards 

Duties & Responsibilities    

• Financial Reporting: Prepare and analyse financial statements, ensuring accuracy and compliance with relevant accounting standards. 
• General Ledger Management: Maintain and reconcile general ledger accounts, ensuring accurate and timely posting of transactions. 
• Budgeting and Forecasting: Assist in the preparation of budgets and financial forecasts, monitoring variances and providing analysis.
• Accounts Payable and Receivable: Manage accounts payable and receivable processes, including invoice processing, payment collections, and vendor management.
• Tax Compliance: Ensure compliance with tax regulations, preparing and filing tax returns and related documentation.
• Audit Support: Assist with internal and external audits, providing necessary documentation and support to auditors.
• Financial Analysis: Conduct financial analysis to support decision-making processes, identifying trends and providing insights.
• Policy and Procedure Development: Develop and implement accounting policies and procedures to ensure efficient and effective financial operations.
• Internal Financial Control: Refining and maintain the internal financial control monitoring, reporting and auditing frameworks.
• System Maintenance: Utilize and maintain financial software systems, ensuring data integrity and accuracy.
• Team Collaboration: Work closely with the finance team and other departments to support overall financial operations and achieve business objectives.
• Accurately process month-end entries to ensure all financial accounting transactions supporting financial flows is completed up to the Trial Balance stage.
• Release monthly payments to Fund Managers and creditors on schedule to support financial operations and maintain cash flow.
• Oversee daily and monthly bank reconciliations for both local and offshore accounts, ensuring accuracy and timely resolution of discrepancies.
• Prepare monthly VAT reconciliations and SARB submission, ensuring compliance with tax obligations and accuracy in reporting.
• Prepare tax calculations and journals.
• Provide comprehensive information to Auditors during the annual audit, facilitating a smooth and efficient audit process and ensuring transparency. 

Competencies    

• Financial Acumen: Deep understanding of financial principles and practices.
• Analytical Thinking: Ability to analyse financial data and provide meaningful insights.
• Attention to Detail: High level of accuracy in financial reporting and record-keeping.
• Problem-Solving: Strong problem-solving skills to identify and resolve financial issues.
• Communication: Effective communication skills to convey financial information clearly.
• Team Collaboration: Ability to work collaboratively with the finance team and other departments.
• Ethical Conduct: Commitment to maintaining ethical standards and confidentiality in financial matters. 

Skills: 

• Strong knowledge of accounting principles and standards.
• Proficiency in accounting software and financial management systems.
• Excellent analytical and problem-solving skills.
• Attention to detail and high level of accuracy.

Leadership and collaboration:

• Provide technical guidance and mentorship to junior accountants and finance administrators
• Collaborate cross functionality with other departments to ensure alignment and financial transparency
• Uphold the organizations values and promote a culture of accountability and excellence
• Strong communication and interpersonal skills. 

Closing Date    

• 2026/05/08

go to method of application »

Role Purpose    

• We are seeking a detail-oriented and experienced Financial Accountant to join our team at Momentum Investments. The ideal candidate will be responsible for the full accounting and financial control function for an Asset Manager.
• Attention to detail and meeting deadlines are essential. This role involves working closely with the finance team to support overall financial operations and contribute to the company's financial health. This role will report directly into the Financial Controller. 

Requirements    

• Bachelor's degree in accounting, Finance, or related field.  
• A minimum of 3-5 years' relevant financial accounting experience (in the  Investment Management / industry is a requirement). Proven experience with financial reporting, budgeting and tax compliance.
• Experience in accounting for foreign entities and foreign exchange will be advantageous. 

Knowledge: 

• JDE knowledge will be an advantage.
• Sound knowledge of accounting principles and practices.
• Solid Excel knowledge with basic to advanced use of functions. 

Skills: 

• Strong knowledge of accounting principles and standards.
• Proficiency in accounting software and financial management systems.
• Excellent analytical and problem-solving skills.
• Attention to detail and high level of accuracy. 

Duties & Responsibilities    

• Financial Reporting: Prepare and analyse financial statements, ensuring accuracy and compliance with relevant accounting standards. 
• General Ledger Management: Maintain and reconcile general ledger accounts, ensuring accurate and timely posting of transactions.
• Budgeting and Forecasting: Assist in the preparation of budgets and financial forecasts, monitoring variances and providing analysis.
• Accounts Payable and Receivable: Manage accounts payable and receivable processes, including invoice processing, payment collections, and vendor management.
• Tax Compliance: Ensure compliance with tax regulations, preparing and filing tax returns and related documentation.
• Audit Support: Assist with internal and external audits, providing necessary documentation and support to auditors.
• Financial Analysis: Conduct financial analysis to support decision-making processes, identifying trends and providing insights.
• Policy and Procedure Development: Develop and implement accounting policies and procedures to ensure efficient and effective financial operations.
• Internal Financial Control: Refining and maintain the internal financial control monitoring, reporting and auditing frameworks.
• System Maintenance: Utilize and maintain financial software systems, ensuring data integrity and accuracy.
• Team Collaboration: Work closely with the finance team and other departments to support overall financial operations and achieve business objectives.
• Accurately process month-end entries to ensure all financial accounting transactions supporting financial flows is completed up to the Trial Balance stage.
• Release monthly payments to Fund Managers and creditors on schedule to support financial operations and maintain cash flow.
• Oversee daily and monthly bank reconciliations for both local and offshore accounts, ensuring accuracy and timely resolution of discrepancies.
• Prepare monthly VAT reconciliations and SARB submission, ensuring compliance with tax obligations and accuracy in reporting.
• Prepare tax calculations and journals.
• Provide comprehensive information to Auditors during the annual audit, facilitating a smooth and efficient audit process and ensuring transparency.

Competencies    

• Financial Acumen: Deep understanding of financial principles and practices.
• Analytical Thinking: Ability to analyse financial data and provide meaningful insights.
• Attention to Detail: High level of accuracy in financial reporting and record-keeping.
• Problem-Solving: Strong problem-solving skills to identify and resolve financial issues.
• Communication: Effective communication skills to convey financial information clearly.
• Team Collaboration: Ability to work collaboratively with the finance team and other departments.
• Ethical Conduct: Commitment to maintaining ethical standards and confidentiality in financial matters. 

Closing Date    

• 2026/05/08

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Role Purpose    

• Building and maintaining the overall image of the Momentum Health brand in the market place through service recovery and quality auditing and coaching.

Requirements    

• Degree or National Diploma in Business management
• Grade 12
• University degree or equivalent qualification is preferred
• Momentum Group accredited Leadership course would be an advantage
• 5 – 6 years of Client Services experience
• Good understanding of the industry would be an advantage
• 5 – 6 years industry experience
• 3 – 4 years leadership experience will be an advantage
• Knowledge of the Oracle systems is essential
• Client service experience in the medical aid environment is essential
• Knowledge of Momentum Health and related complimentary products would be an advantage

Duties & Responsibilities    

• Ensure that Quality samples are completed  and within agreed standards.
• Identify gaps from the quality sample and implement initiatives to improve the overall quality scores.
• Manage regular coaching  sessions with the relevant departments.
• Ensure all quality reporting is provided timeously to the relevant stakeholders.
• Resolve high level unresolved queries /disputes arising from clients and provide feedback.
• Manage/ Ensure that the appropriate service recovery measures and plans are implemented to handle all high level escalations.
• Collaborate with line managers and feedback.
• Engage with the departments that do not meet the standards of service as laid down in Scheme service level agreements (action plans to improve)
• Ensuring that the recommended corrective measure to the defaulting departments does take place.
• Identify areas where training is required to improve service levels and/ or quality scores.
• Identify process and system shortfalls in order to improve efficiencies from service recovery and quality findings.
• Building and maintaining relationships with coaches, service managers & heads of the various business units.
• Keeping a record of all quality audits,  escalated queries, complaints and the corrective action taken to resolve problematic areas within the business.
• Attending management/ scheme meetings
• Reports as requested by the Scheme or the Executive Team are accurately and timeously completed and included in the Operations Pack by the 5th of every month.
• Process improvements are tracked and there is evidence to show improvement.

Competencies    

• Understands how the business operates, what the key issues and risks are that drives business success; and how they impact on the commercial viability of potential ventures and the profitability of the Group
• Anticipates, meets and exceeds client’s needs by creating long lasting relationships that support the client value proposition, supports their financial wellness and ensures client centricity.
• Drive a sense of urgency, focus, accountability, agility and execution to deliver business results.
• Actively leads change, does what is right for the business and drives continuous improvement through innovation.
• Creates and maintains an open, positive working environment by generating commitment, building trust, a shared sense of purpose, empowerment in others and encouraging them to contribute to the best of their ability.
• Prioritises the business interests of Momentum Group and invests in the success of the group by aligning effort across divisions.
• Persuades, convinces, influences and inspires others, both within Momentum Group and externally to win support, loyalty and gain commitment to the purpose of Momentum Group.
• Manages self and relationships with others effectively, deals with ambiguity, uncertainty and pressure, and provides perspective in difficult situations.
• Is sensitive to individual and cultural differences and demonstrates humility and an openness to engage people from diverse backgrounds and cultures to the mutual benefit of all parties concerned.
• Takes responsibility for own development; and actively mentors, coaches and develops talent in others.
• Builds leadership bench strength for Momentum Group by providing opportunities and experiences to develop skills, competencies and business knowledge.

Closing Date    

• 2026/05/08

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Role Purpose    

• Provide logistical and administrative support to ensure delivery of learning interventions aligned with business priorities.

Requirements    

Qualification

• Valid Matric Certificate.
• Completed a Bachelor's Degree or 3 year National Diploma in:Human Resources, Industrial Psychology, Learning and Development.
• Should not be studying fulltime for the duration of the programme.
• South African citizen between the ages of 18 and 35 years.
• Must be able to commute to the workplace on their own.
• Computer literate (MS Office).

Duties & Responsibilities    

INTERNAL PROCESS

• Provide assistance and support to Learning & Development (this may include, but is not limited to liaising with various internal and external stakeholders & General Administrative support).
• A willingness to spend time in various Business Units to learn and better understand the full Learning & Developement processes and offering.
• Acquiring the relevant practical experience and knowledge of the L&D environment.
• Learning to use various company systems as well as the understanding of operational processes.
• Displaying a willingness to learn corporate values and technicalities.
• Timeous completion of logbooks for workplace based learning.
• Demonstrating commitment to working in the L&D environment.
• Demonstrating commitment in attending all identified Learning and Development courses.

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

• Build strong relationships through providing specialist know-how and leadership to others, expressing positive expectations.
• 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 specialist 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

• 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    

• Ability to work under pressure while being client centric at all times.
• Assertive with good communication skills and the ability to access and use information.
• Ability to be creative, innovative and a problem solver with collaboration and inclusiveness.
• Self-management and results-driven behaviour with attention to detail and high levels of accuracy.
• Time management.
• Demonstrate the willingness to go the extra mile at all times.

Closing Date    

• 2026/05/12

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Role Purpose    

• You will be responsible for accounting and financial reporting activities to support the growth and development of the Momentum Retirement Administrators (MRA) business.

Requirements    

Experience And Qualifications

• Bachelor of Commerce (Accounting as Major).
• 5 - 7 Years' experience in a financial or employee benefit environment.
• 5 Years' Fund or Investment Accounting experience.'

Duties & Responsibilities    

• Maintain the general ledgers.
• Reconcile two tier balance sheet items.
• Independently prepare monthly management accounts and annual financial statements.
• Independently prepare monthly statements of cash flows within agreed timelines.
• Independently prepare audit files for annual audits and statutory valuations.
• Independently prepare and confirm monthly financial reports.
• Ensure that all statutory information for the fund is available at all times.
• Respond to audit requirements and queries and ensure audit and valuation recommendations are implemented.
• Prepare monthly general ledger reconciliations for the fund.
• Reconcile investment trial balances on a monthly basis.
• Review and analyse money movement on a daily basis.
• Perform bank reconciliations.
• Prepare and submit monthly PAYE returns to SARS.
• Process journals on the general ledger system within the agreed time.
• Comply with the rules of the Pension Fund, the Pension Fund Act and all requirements of the FSCA.
• Prepare asset and liability matching on a monthly basis.
• Prepare and submit annual financial statements of pension fund.

Competencies    

• Accountability.
• Accuracy.
• Attention to detail.
• Analytical thinking.
• Teamwork.

Closing Date    

• 2026/05/08

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Role Purpose    

• Manage and motivate the team in order to deliver an excellent client experience and support the achievement of sales targets, Manage the activities of advisors through effective people and branch management in order to foster client centricity, increased productivity and enable operational sales excellence.

Requirements    

Qualifications:

• Matric or equivalent NQF Level 5 qualification
• RE5
• FAIS Representative legislative qualification
• Class of Business 3 and 7 (preferable)

Experience

• 3-5 years of working experience in the financial services industry
• A minimum of 2 years of managerial experience overseeing the rendering of financial advice
• Experience in FAIS Tier 1 Long Term Insurance and Pension Benefit products
• A valid driver's license and access to your own vehicle
• Computer literacy

Duties & Responsibilities    

• Leading and managing a team of Financial Advisers
• Developing action plans to drive sales and enhance performance.
• Ensuring compliance with operational processes and legislative requirements
• Cultivating a branch culture to energise employees and maximise productivity.
• Recruiting and selecting high performing Financial Advisers to join your team

Competencies    

• Business Acumen
• Client/ Stakeholder Commitment
• Drive for Results
• Leads Change and Innovation
• Motivating and Inspiring Team
• Impact and Influence
• Collaboration
• Self-Awareness and Insight

Closing Date    

• 2026/05/29

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Role Purpose    

• This role involves conducting complex investigations into suspicious or fraudulent claims submitted to the medical scheme.
• Reviewing claim patterns to identify anomalies and irregularities.
• Analysing billing data and referral patterns to detect improper claims.
• Interviewing members and healthcare providers to collect evidence regarding questionable claims.
• Preparing detailed investigation reports, summarising findings and recommending corrective actions.

Requirements    

Qualifications 

• Matric or equivalent
• Bachelor’s degree in healthcare management, finance, accounting, auditing, forensics or a related field
• Advanced degree in Forensics, Compliance, Accounting, Investigations and Forensic Accounting, Commerce, Auditing or Forensic Auditing (Preferrable )
• Association of Certified Fraud Examiners (ACFE)
• Certification in fraud examination, healthcare compliance or a related field is desirable

Knowledge 

• Strong understanding of medical tariff codes, billing practices and reimbursement methodologies.
• Proven track record of conducting complex investigations and uncovering fraudulent activities.
• Excellent analytical skills with the ability to interpret and analyse large volumes of data.
• Proficiency in using desktop investigation tools, databases and software applications.
• Exceptional attention to detail and ability to maintain accuracy in a fast-paced and high-pressure environment.
• Excellent written and verbal communication skills, with the ability to effectively communicate findings and recommendations to diverse audiences.
• Ability to work independently with minimal supervision and manage multiple priorities effectively.

Experience 

• Minimum of 5 years of experience in healthcare claims processing, medical aid schemes administration or healthcare fraud investigations.

Duties & Responsibilities    

Internal Process 

• Conduct thorough desktop investigations into cases of suspected fraud, waste and abuse within healthcare claims.
• Analyse and review medical records, claims data, billing statements, and other relevant documentation to identify discrepancies, irregularities or potential fraudulent activities.
• Utilise knowledge of medical aid schemes, including their policies, scheme rules and procedures, to assess the validity of claims and identify potential fraudulent behaviour.
• Interpret and apply medical tariff codes and billing guidelines to evaluate the appropriateness and accuracy of billed services.
• Collaborate with internal stakeholders, including data analysts, clinical advisors and other investigators, to gather additional information and evidence for investigations.
• Prepare detailed investigation reports summarising findings, conclusions and recommendations for further action.
• Interview members, healthcare providers and other parties to collect evidence regarding questionable claims.
• Testify as an expert witness regarding investigation findings.

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.
• Participate and contribute to a culture which builds rewarding relationships, facilitates feedback and provides exceptional client service.
• Interview members, healthcare providers and other parties to collect evidence regarding questionable claims.
• Provide expert guidance and support to existing investigators on complex cases and assist in their professional development.

People

• The successful candidate should be able to address conflicts constructively, mediate disputes and foster a more collaborative and harmonious work environment.
• Strong communication skills are essential. The successful candidate should be able to communicate clearly and assertively, while also being respectful and professional.
• Lead by example through strong work ethic, integrity and respect towards all team members and all managers. Even though this role may not have direct managerial authority, strong leadership qualities are essential.
• Assist with team managment/investigation guidance when required.

Finance

• 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    

• An ability to analyse and interpret large amounts of complex data
• Medical aid claims knowledge
• Clinical knowledge
• Desktop forensic investigation knowledge
• Data analytics
• Forensic accounting
• Fraud Risk Management
• Medical billing knowledge
• Professionalism: Uphold the highest standards of ethics and integrity in decision-making and actions.
• Expertise: Demonstrate a high level of expertise in healthcare fraud, waste, and abuse investigation.
• Adaptability: Be flexible and willing to step into a limited leadership role when required.
• Teamwork and Leadership: Proven track record of uniting individuals constructively toward a common goal, embodying values of performance excellence and integrity, making it a true culture champion.

Closing Date    

• 2026/05/11