Investigator I - Cape Town

Only for registered members Cape Town, South Africa

2 weeks ago

Default job background
Full time

Job summary

This role enables associates to work virtually full-time, with the exception of required in-person training sessions.

Responsibilities

  • Using appropriate system tools and databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers and subscribers.
  • Preparation of statistical/financial analyses and reports to document findings and maintain up-to-date electronic case files for management review.

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