Job Description

Closing Date 2025/02/26
Reference Number MMH250218-8
Job Title Forensic Investigator Intern
Position Type Temporary
Role Family Operations
Cluster Momentum Health
Remote Opportunity Some of the time
Location - Country South Africa
Location - Province Western Cape
Location - Town / City Bellville
IntroductionThrough 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. We help people grow their savings, protect what matters to them and invest for the future. We help companies and organisations care for and reward their employees and members. Through our own network of advisers or via independent brokers and utilising new platforms Momentum Metropolitan provides practical financial solutions for people, communities, and businesses.
Disclaimer As an applicant, please verify the legitimacy of this job advert on our company career page.
Role PurposeTo provide administrative support to the GEMS Claims Risk Management team in provider debt management space.
RequirementsQualification

• Matric certificate or Equivalent.
• 3 year diploma or degree in accounting or any other relevant field of study.

On-the-job training / qualifications

• Workplace etiquette and personal branding.
• Hands-on exposure to debt management in a healthcare setting.
• Training and mentorship in financial reconciliation and debt recovery.
• A stepping stone into a career in forensic debt management, healthcare fraud analytics and regulatory compliance.

Duties & ResponsibilitiesInternal Process

• Assist in tracking, documenting, and maintaining provider debt records.
• Support the reconciliation of outstanding balances and payments.
• Ensure accurate record-keeping of debt recovery actions.
• Assist in preparing reports on provider debt trends and outstanding recoveries.
• Support the review of financial data for accuracy and compliance.
• Liaise with scheme legal service providers to coordinate debt recovery processes for handover.
• Ensure compliance with scheme policies and regulatory requirements.
• Assist in responding to provider queries related to debt management.

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

• Business Acumen
• Client/Stakeholder Commitment
• Drive for Results
• Collaboration
• Impact and Influence
• Self-Awareness and Insight
• Diversity and Inclusiveness
• Growing Talent
• Problem Solving
• Attention to detail

PolicyWe are committed to Employment Equity, diversity and inclusion when recruiting internally and externally. All appointments are made in alignment to our Employment Equity goals and we encourage people with disabilities to apply.

Momentum Group