forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme . identification of "codes" to investigate/identify fraud, waste and abuse claims and submission of claim of the scheme and minimize losses pertaining to fraud, waste and abuse claims.
Educational
CONTRACT CONTRACT CONTRACT
Fraud/Claims with Online Purchases:
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for Fraud and Risk to be responsible for developing and implementing strategies to mitigate fraud and organisation's operations. This role involves overseeing fraud prevention measures, analysing risk factors, and experience of 5 years in operations management (Fraud and Risk), preferably in the technology or financial management experience.
Fraud Operations:
industry partner is looking for a highly analytical Fraud Data Scientist to join their team Job Description: seeking a Data Scientist to join their fight against fraud. In this role, you will use your expertise to uncover positioning the organization as a key player in national fraud prevention. Here's a breakdown of what you'll be to identify emerging fraud trends and vulnerabilities. Develop and maintain fraud detection models that systems and processes to stay ahead of evolving fraud tactics. This role is perfect for someone who thrives
land and ocean, the Research, Development and Monitoring impact portfolio works to design well-structured position of Manager: Research, Development and Monitoring is based in Port Elizabeth, and is offered on through the design of a robust organisational monitoring and evaluation framework. This exciting programme every aspect of the Research, Development and Monitoring Impact Portfolio, including preparing budgets financial reporting, managing the training budget and monitoring monthly expenditure reports. Drive and oversee
the automotive industry seeks for a VDI Stack Monitoring Specialist (Senior) to join their dynamic team excellence including automation and proactive monitoring approached. Collaborate with an international components Main function: Worked with Application Monitoring tools Application and Server hardening (e.g. platform and desktop components. Experience in Azure Monitoring Tool Experience in VMWare Horizon Cloud prefereably Hypervisor Stack (higher VMWare ESXi 6.x) Experience monitoring tools (Aternity, SCOM, AZURE, Nagius, Dynatrace
consistency of data by being responsible for internal monitoring, validation, and auditing of participants’ source requirements and regulations
limited to): Develop and implement a compliance monitoring plan to assess adherence to regulatory requirements to ensure that monitoring activities remain up-to-date and relevant. Document monitoring activities, findings from regulatory authorities regarding compliance monitoring activities. Participate in cross-functional projects Experience: Proven experience in compliance monitoring or auditing, preferably within the retail or
limited to): Develop and implement a compliance monitoring plan to assess adherence to regulatory requirements to ensure that monitoring activities remain up-to-date and relevant. Document monitoring activities, findings from regulatory authorities regarding compliance monitoring activities. Participate in cross-functional projects Experience: Proven experience in compliance monitoring or auditing, preferably within the retail or
Walters South Africa What you'll do: As a Portfolio Monitoring and Valuations Specialist, you will play a crucial monthly monitoring processes. What you bring: The ideal candidate for this Portfolio Monitoring and Valuations