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Manager: Prepayment Analytics (Forensic Investigator) (Data Analyst)Our Client, Momentum Health Solutions, who has been voted top employer of the year twice in a row, is looking for a Specialist/Manager supporting a FWA Health Investigative/forensic team. The successful candidate will be based at the Bellville office (Parc du Cap) and will be required to work from the office at least twice a week (Hybrid model).Duties and Responsibilities:Perform prepayment analytics using IBM’s suite of real time fraud detection analytical tools to identify outlier behaviour and potential FWARefine these prepayment tools to improve the sensitivity and accuracy thereof in detecting irregular claims behaviourReview case reports or summaries prepared by direct reports to be presented to client and management for timeous intervention in mitigating future financial losses to client because of the detected fraudManage & support a team of FWA forensic InvestigatorsMentor and provide guidance to the Investigator team to focus the investigations conducted and to improve their skill set and report writingAudit the information received from providers and draw appropriate conclusions on the validity thereof and the extent to which the findings have been provenQuantify the extent of losses incurred and contribute to the compilation of a report as requiredRecommend necessary action to be taken, which could include closing a case and/or presenting findings to the client forum for decisioning or punitive sanctions where requiredAttend client meetings or forums as well as healthcare service provider engagements as necessary, to address the risks at hand and to affect the necessary future action to be takenInvestigate client queries within the agreed service level and ensure that client receives timeous feedbackManage documentation, records, investigation notes and other evidence, ensuring accurate and accessible record keepingParticipate in legal processes where required and testify to investigation findings if necessaryLiaise with various internal and external stakeholders to build and maintain relationshipsKeep abreast of relevant legislation, regulation, and policies within the Healthcare industryContribute to the development of fraud prevention policies, strategies, plans and other related documentsParticipate and contribute to a culture of performance excellenceProven experience managing a high-performance team / leading a team of 5 staffMinimum Requirements:Education:Relevant B-degree in Accounting, Quantitative analysis, Risk Management, Auditing, Forensic Investigations, Criminal, or related fieldMatric or equivalent qualificationCertificate in Money Laundering Control, ACAMS Certificate or Certified Fraud Examiner (ACFE), or equivalent (Desirable) Membership to a Professional body (Desirable) Knowledge:Knowledge of Fraud, Waste and Abuse regulatory environmentKnowledge of Insurance, Health and Financial Services IndustryKnowledge of https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMjY2XzM3ODEwX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1147189&xid=1266_37810

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Were looking for a candidate to fill this position in an exciting company. INDUSTRIAL RELATIONS Maintain oversight of all TSE first line discipline (charge sheets, warnings, notices, etc)Oversee and get involved with Disciplinary Proceedings (Grievances, Desertions, Counselling, Informal And Formal Hearings)Facilitate disciplinary enquiries, appeals, grievances and CCMA casesMaintain the IR trackerAdvise employees and management on disciplinary processes and proceduresAttend CCMA when required on conciliation and AbitrationAssist with the documentation for AbitrationLiaise with Union officials and representatives when required.Co-ordinate all external referred disputes ie. Labour Court, CCMAArrange and collate background information on disputesConduct preliminary investigations and compile background reports for submission to Bargaining CouncilResearch relevant case law, liaise with labour experts and compile case reports in preparation of disputes for either arbitration or CCMAEnsure formal engagement between labour and employer for purposes of consultation and negotiationGive advice to Management, staff and unions on labour related matters and evaluate policies and procedures in line with labour legislationBuild and maintain constructive relationships with unions, management and councillorsEnsure compliance with relevant collective agreement;Monitor and give advice with the handling of disciplinary hearings/incapacity hearingsConduct preliminary investigations to establish the need for formal disciplinary procedures to be proceeded withCoordinate and facilitate Labour Relations TrainingImplement and maintain strike contingency plansKeep record of daily Labour Relations related activities, update records and files to maintain a database of labour matters. STRATEGIC CONSULTING Stay abreast of all legislative changes in order to keep regional management and clients informed at all timesDesign and implement labour relations related initiatives within the company and with clients, thereby creating unique differentiatorsProvide input/guidance to client on Labour Relations matters to minimise riskDevelop and implement action plans around specific labour relations type situationsCustodian of internal company Labour Relations documentation and processes and make recommendations and agreed changes. Grade 12 with Labour Law or HR qualification or equivalent?Minimum 3 – 5 yrs. Labour Relations experience essential with extensive exposure to CCMA, Conciliation, Arbitrations, unions etc. Proven experience in managing the delivery of personnel services to a workforce in excess of 600 employees. Experience within the distribution and logistics sector will be an added advantage Registration with a professional body would be advantageous https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18yOTJfMjAyMjIxX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1165169&xid=292_202221

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