Fraud Analyst

• Identify & investigate fraudulent activities and present fraud reports to the relevant stakeholders
• Participate in the role of Auditing in line with Operations Auditing Practices
• Review and assess regions, providers & other areas of risk to identify potential fraud or misrepresentation
• Identify & report cost containment opportunities
• Identify Areas of fraud risk & assist with the design & implementation of controls to mitigate that risk
• Provide input into Operations Controls to achieve acceptable cost containment & fraud identification standards
• Create & Facilitate Anti-Fraud Awareness & support material as required
• Liaise with Global Operations Functions to ensure consistency in the application of the Global Claims Fraud Framework
• Respond to client enquiries accurately and professionally and when necessary, liaise with additional departments to ensure an efficient response is given thereby achieving client satisfaction
• Other Ad Hoc tasks or projects in order to support the team and other areas of the business

• At least 2 years’ experience in an International Health Insurance environment
• Experience in analysing and assessing medical claims of high values and complexities
• Ability to communicate effectively with various audiences and all levels of the organisation
• Proficiency in MS Office (in particular in Excel, Power BI, PowerPoint)
• Excellent level of written and verbal English is essential
• Experience in problem solving & decision making
• 2nd Language preferable

2nd Language preferable