WE ARE HIRING!!
Job Summary
- Type: full-time
- Location: Harare
- Category: Legal/Compliance
- Closing Date: 2026-08-28
Key Responsibilities
- Participates in developing policies and procedures to prevent fraudulent activities and recover any incurred losses.
- Participates in planning and undertaking various statistical exercises designed to highlight over-servicing and manipulation of tariffs by service providers and members.
- Prepares monthly statistical returns on several cases under investigation.
- Alerts the Client Experience Manager on instances of system weaknesses which facilitate irregular practices and suggest methods of correcting such weaknesses.
- Investigates and prepares preliminary reports on information security and submits to the Client Experience Manager monthly.
- Carries out compliance reviews and submits a report on findings to the Client Experience Manager.
- Updates and maintains the Vulnerability Management Programme, including establishing mechanisms to identify new vulnerabilities and changes in the threat landscape.
- Research, analyse, and identify emerging global industry trends that relate to Medical Aid Fraud.
- Maintenance of the drug file system, checks, and verifies whether scheme rules are correctly loaded on the system.
- Oversees and participates in the development of analytics models to assess and identify anomalous trends relating to Medical Aid Claims and overall business operations.
- Identifies and reviews monthly claims analysis, data received from claims department and Internal Audit reports to manage anomalies.
- Oversee and participate in the development of analytic models to assess and identify anomalous trends relating to Medical Aid Claims and overall business operations.
Requirements
- A degree in Forensic Audit or Insurance and Risk Management
- Relevant knowledge of the medical aid industry is a must.
- At least 3 Years experience in a similar role.
Salary
Not specified
How to Apply
Apply by email: [email protected]
About the Company
FLIMAS (Fidelity Life Medical Aid Society) is a medical aid society operating in Zimbabwe, providing healthcare funding solutions to individuals, families and corporate groups. Headquartered in Harare, the society administers medical aid schemes that cover hospitalisation, consultations, medication and other healthcare services through a network of providers across the country. It operates under Zimbabwe's regulatory framework for medical aid societies, which oversees the industry to protect members' contributions and benefits. The society serves a broad membership base drawn from both the private sector and the general public in Zimbabwe. Through its schemes, members access treatment at hospitals, clinics and private practitioners nationwide.
Caring for your health, the Zimbabwean way
Frequently Asked Questions
What qualifications do I need to become a Forensic Officer at a medical aid society in Zimbabwe?
Typically, employers look for a degree in Accounting, Forensic Accounting, Auditing, Law, or Criminal Justice, often with professional certifications such as ACCA, CIMA, CFE (Certified Fraud Examiner), or CIA. Experience in auditing, investigations, or claims assessment within the insurance or medical aid sector is highly valued. Some roles may also require knowledge of Zimbabwean legislation such as the Criminal Law Code and the Medical Services Act.
What are the typical day-to-day responsibilities of a Forensic Officer in medical aid?
You would investigate suspected fraudulent or inflated claims, analyse member and service provider data for anomalies, and conduct interviews with claimants, providers, or witnesses. The role also involves preparing detailed investigation reports, supporting disciplinary or legal proceedings, and recommending controls to prevent future fraud. Collaboration with actuaries, claims teams, legal counsel, and sometimes law enforcement is common.
What is the work culture like for compliance roles in Zimbabwe?
Workplaces in Zimbabwe tend to be formal and hierarchical, with strong emphasis on professionalism, punctuality, and respect for reporting lines. Compliance and forensic roles demand high integrity and confidentiality, as you may handle sensitive investigations involving colleagues or service providers. Building trust and maintaining ethical standards are critical, given the close-knit nature of the local financial services industry.
What career progression can I expect as a Forensic Officer?
You can progress to Senior Forensic Officer, Forensic Manager, Head of Risk and Compliance, or Chief Risk Officer with experience and further certifications. Many professionals also move into internal audit, risk management, or consultancy roles across banking, insurance, and public institutions. Pursuing qualifications like CFE or a master's degree significantly strengthens advancement prospects in Zimbabwe's competitive market.
What benefits are typically offered for this role in Zimbabwe?
Common benefits include medical aid cover, pension contributions under schemes compliant with the National Social Security Authority (NSSA), paid annual leave, and sometimes performance bonuses. Employers in the financial services sector may also offer life assurance, staff funeral policies, and professional development support. Specific packages vary by employer and depend on your experience level.
How should I apply, and what do employers look for during recruitment?
Applications are usually submitted via email or company career portals with a tailored CV, cover letter, and certified copies of academic and professional certificates. Employers look for demonstrable investigative experience, attention to detail, integrity, and strong report-writing skills, so highlight relevant cases or audits you have handled. Be prepared for panel interviews that may include scenario-based questions on fraud detection and ethical dilemmas.