An exciting permanent position exists for an analytical and results driven team player. The successful candidate will be responsible for investigating PPS Member claims investigations and implementing and enhancing investigation methods.  Applications are invited for the above-mentioned position, to be filled as soon as possible. Qualifications & Experience Grade 12Bachelor’s Degree in Forensic or equivalent3+ years experience in a similar role2+ Experience in working in the healthcare/insurance or banking environment  Duties and Responsibilities Key Responsibilities:Forensics Investigations Must assist in detecting and investigating 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 documentationAssisting with the investigation of leadsMust be able to perform investigationsAbility to assess and interpret evidence, maintain the investigation's integrity, evaluate results and determine the cause, analyse the circumstance and make valid recommendations.Must be able to perform investigations so that the image of PPS is not detrimentally affected.Execute and actively participate in investigationsCompiling case dockets for criminal prosecution ? Produce an investigative reportingStakeholder ManagementResponsible for claims investigations within the agreed time frame / SLATo provide the Claims department with properly investigated cases that will enable the assessors or requester to assess the claim and pay valid claimsData & 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 investigationsPreparing comprehensive audit and forensic reports, as may be required regarding action to be taken regarding the investigation.#J-18808-Ljbffr