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Working with the Global Claims Function, you'll identify, investigate, and remediate Fraud, Waste & Abuse in health claims within Tunisia, ensure professional reporting, represent the Global Claims Fraud Framework, and communicate professionally within the organization.
Job Responsibility:
Identification, investigation and remediation of Fraud, Waste & Abuse in claims submitted by Health Service Providers and Health Customers in Tunisia
representation of the Global Claims Fraud Framework to colleagues, customers, and the network of Health Service Providers
ensuring all Fraud, Waste & Abuse activities are captured and reported in accordance with the agreed reporting requirements.
Requirements:
Bachelor’s degree in any medical field, Business Administration, Insurance or a related field
legally allowed to work in Tunisia
at least 2 year’s experience in a customer-focused environment and in a clinical, paramedical, or health insurance role
very comfortable in preparing data using Excel or similar data tools
excellent level of Arabic, French, and English (written, word, listening)
comfortable with communicating at all levels of an Organisation in a professional manner.
What we offer:
Personal and professional development opportunities
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