Asst. Manager, FWA Claims Fraud Investigations

As Assistant Manager (Fraud Investigation Unit), you will be responsible for investigating complex claims, identifying potential fraud, waste, and abuse, and collaborating with the Claims Fraud Investigation team to gather evidence and rule out fraudulent activities.You will also provide recommendations on claims handling based on investigation findings and...

About the RoleWe are seeking an experienced professional to lead our efforts in detecting and preventing medical claims fraud, waste, and abuse (FWA). As a Medical Claims Fraud Specialist Lead, you will play a critical role in ensuring the long-term sustainability of our portfolio.Your key responsibilities will include:Developing and implementing strategies...

The role of Assistant Manager (Fraud Investigation Unit) at Prudential BSN Takaful Berhad is crucial in ensuring the efficient and effective management of fraud claims. This includes:Assisting the immediate supervisor in managing fraud claims efficiently.Meeting or exceeding management's expectations regarding operational processes related to...

We are seeking a highly skilled and experienced professional to join our team as Assistant Manager (Fraud Investigation Unit). The successful candidate will play a critical role in ensuring the efficient and effective management of fraud claims.The role requires a strong analytical mindset, excellent communication skills, and the ability to work...

The ideal candidate for this role will have a strong background in fraud investigations, excellent analytical skills, and the ability to work collaboratively with cross-functional teams.As Assistant Manager (Fraud Investigation Unit), you will be responsible for conducting thorough investigations of complex claims, identifying potential fraud, waste, and...

Job DescriptionThis position is responsible for leading the detection and prevention of medical claims fraud, waste, and abuse (FWA) at Prudential. The successful candidate will have strong knowledge of medical and insurance processes.The incumbent will be responsible for:Performing training and audits to equip the Claims Department with the capability to...

Allianz General Insurance CompanyJob Type: Full-TimeRemote Job: Hybrid workingEmployment Type: PermanentID: 59010Position: Non-ExecutiveSummaryWe are seeking a highly skilled professional to join our Claims Control & Specialised Claims Unit. As a key member of our team, you will be responsible for Market Intelligence, serving as a Claims Specialist,...

The successful candidate will have the opportunity to work in a dynamic team environment, contributing to the achievement of Company goals through efficient and effective claims investigation and due diligence.This role requires strong analytical and problem-solving skills, with the ability to investigate complex claims issues and make fair, impartial...

As a seasoned claims investigator, you will play a key role in maintaining the integrity of our claims process, ensuring that all investigations are conducted fairly and impartially.You will have the opportunity to work closely with cross-functional teams, sharing your expertise and knowledge to drive improvements in claims handling and customer...

Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners.We provide a platform for our people to do their best work and make an impact to the business, and we support our...

Executive, Claim InvestigationApply locations Kuala Lumpur (Takaful) time type Full time posted on Posted 30+ Days Ago job requisition id 24110244Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our...

Executive, Claim InvestigationApply locations: Kuala Lumpur (Takaful)Time type: Full timePosted on: Posted 4 Days AgoJob requisition id: 24110244Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our...

Add expected salary to your profile for insights.Independent fraud investigation is the key element of this role. This role reports to the Head, Enterprise Fraud Risk in the 2nd line of defense of the organization.The jobholder is responsible for performing independent investigations on e-banking fraud and internal staff fraud, establishing facts, modus...

The job holder is responsible for identifying fraudulent activity under minimal supervision on various products, across multiple platforms, to protect Company assets and our customers. Initiates and/or receives contact from customers, potential victims and external parties while monitoring various queues, reports, and items as part of the fraud prevention...

We're seeking a meticulous and analytical individual to join our Live Chat Support team as a Fraud Analyst.About the RoleThe successful candidate will be responsible for monitoring live chat interactions in real-time, investigating potential fraudulent activities, and communicating with customers via chat in a professional and empathetic manner.Key...

This role involves managing global cases of theft and fraud, ensuring efficient team operations, setting and implementing team goals and plans, and achieving relevant business metrics.The ideal candidate should have at least 3 years of experience in handling theft and fraud investigations, with proven ability to identify fraud patterns, conduct thorough case...

About the RoleWe are seeking a highly skilled professional to join our Claims Control & Specialised Claims Unit. As a key member of our team, you will be responsible for Market Intelligence, serving as a Claims Specialist, overseeing Performance Management, and handling Fraud Management.Your expertise will ensure efficient and effective claims processing...

Company Overview">American Express is a global leader in the payment industry, committed to delivering exceptional customer experiences. With a rich history and a strong focus on innovation, we continue to shape the future of payments.">About the Role">We are seeking a highly skilled Identity Theft Fraud Investigation Specialist to join our Global Fraud...

Manager, Claims Technical ExcellenceApply locations Kuala Lumpur time type Full time posted on Posted 30+ Days Ago job requisition id 24090402Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our...

Job DescriptionGREAT EASTERN is committed to upholding the highest standards of integrity and fairness in all aspects of our operations. As a Health Claims Investigator, you will be responsible for conducting investigations into health claims cases, ensuring that they are handled in a transparent and unbiased manner.Key Objectives:To gather medical evidence...