Claims Fraud Investigator

Key Objectives This role will be responsible for analyzing, evaluating, and determining the validity of insurance claims by conducting thorough investigations and working closely with stakeholders to ensure a fair and accurate resolution. This position works closely with country Claims teams and Regional Fraud & SIU team. Duties and responsibilities -...

We're seeking a skilled Health Claims Processor to join our team. In this role, you'll process health claims while ensuring our department's strategic initiatives support the company's mission and business goals. Key responsibilities include processing and assessing health claims, identifying potential abuses or suspected fraud, and meeting targets for cost...

Process health claims, identify potential abuses, and ensure strategic initiatives align with company goals, focusing on risk mitigation and fraud prevention. Key Responsibilities:Process and assess health claims, particularly in investigation cases. Identify and flag potential abuses or suspected fraud during claim assessments. Assess health claims for...

Are you looking for something different instead of more of the same? In your new role, you will process health claims while ensuring that our department’s strategic initiatives support the company’s mission and business goals, with a focus on risk mitigation and fraud prevention. You'll be responsible for: Processing and assessing health claims,...

This role will be responsible for analyzing, evaluating, and determining the validity of insurance claims by conducting thorough investigations and working closely with stakeholders to ensure a fair and accurate resolution. This position works closely with country Claims teams and Regional Fraud & SIU team. Duties and responsibilities - Conduct...

**Role Summary** This role's primary responsibility is to work disputes raised by customers who paid Ria using New Payments Platform (NPP) which is an open-access infrastructure designed for fast payments in Australia. Disputes can vary from request to hold funds, approval of refunds and request for information etc. When not working these disputes, this...

Location: **Malaysia** - Department: Finance/Legal- Location: Malaysia- Lazada Anti Abuse team is responsible for protecting Lazada platform account security, promotions, transactions and financial spendings. We're a global team with team members from different countries to serve for South East Asia market. you'll learn and work for: - Building risk control...

**#BeMore** Do you aspire for a rewarding career that lets you do more and achieve more? Unleash your full potential at work with TDCX, an award-winning and fast-growing BPO company. Work with the world’s most loved brands and be with awesome, diverse people. Be home, belong, and start your journey to #BeMore! **Top Reasons to work with TDCX** -...

#BeMore Do you aspire for a rewarding career that lets you do more and achieve more? Unleash your full potential at work with TDCX, an award-winning and fast-growing BPO company. Work with the world’s most loved brands and be with awesome, diverse people. Be home, belong, and start your journey to #BeMore! Top Reasons to work with TDCX Attractive...

Location: **Malaysia** - Department: Supply Chain & Logistics- Location: Malaysia- Team and Role Introduction: - The Claims & Invoice Analyst is responsible in managing the day-to-day tasks in communicating claims & Invoice report to third-party logistics(3PLs) and close collaboration with finance in managing 3PLs’ claim payments. Subsequently, this role...

Manage a portfolio of 1,500 claims annually, assessing vehicle damage, determining repair methodologies, and engaging with stakeholders to resolve claims efficiently. Auto Material Damage Claims Technical Controller Location: Kuala Lumpur Time Type: Full time Job Description: To handle a portfolio of 1,500 p.a. claims for Personal Lines products which...

Auto Material Damage Claims Technical Controller page is loaded Auto Material Damage Claims Technical Controller Location: Kuala Lumpur Time Type: Full time Job Requisition ID: JR2402365 Description To handle a portfolio of 1,500 p.a. claims for Personal Lines products which includes quantum assessment of consumer auto claims. Core activities would...

Level: Experienced - Contact person: Bonnie Tham Founded in 1964, BDO in Malaysia is one of the five largest professional services firm providing Audit & Assurance, Advisory, Tax and Business Services & Outsourcing (BSO) to businesses ranging from established multinational conglomerates to growth-oriented organisations, whether public or private. BDO’s...

Ensign is hiring ! Evaluates, tests, monitors and maintains information systems (IS) and cyber security policies, procedures and systems I Creates, implements and oversees identity management systems to meet specific security needs and complex compliance standards | Ensures that IS and cyber security plans, controls, processes, standards, policies and...

Ensign is hiring ! Evaluates, tests, monitors and maintains information systems (IS) and cyber security policies, procedures and systems I Creates, implements and oversees identity management systems to meet specific security needs and complex compliance standards | Ensures that IS and cyber security plans, controls, processes, standards, policies and...

**Key responsibilities**: - Surveying the damaged goods, negotiating on the consignees claimed amount - Suggesting to the consignees in view of loss minimization or to avoid aggravation of loss - Submitting preliminary loss advise to the Insurers within 24 hours - Advising the consignee and wherever necessary act, to protect the rights of recovery against...

Level: Experienced - Contact person: Bonnie Tham Founded in 1964, BDO in Malaysia is one of the five largest professional services firm providing Audit & Assurance, Advisory, Tax and Business Services & Outsourcing (BSO) to businesses ranging from established multinational conglomerates to growth-oriented organisations, whether public or private. BDO’s...

About the Company Randstad is partnering with a leading fintech company in Singapore. They are looking for a compliance specialist to join their company. About the Job Key Responsibilities Perform thorough due diligence, document verification, and assessment according to internal standards. Ensure high-quality analysis that aligns with compliance...

**Job Summary**: Ria is looking for a Transaction Review Associate for our Compliance Department at our corporate office in Kuala Lumpur, Malaysia. This position will play a key role in providing overall support to the Transaction Review Management team. As a Transaction Review Associate, you will report directly to the Compliance Supervisor and primarily be...

Handle the management of staff misconduct cases, including investigation. - Provide guidance to line managers on managing staff misconduct. - Drafting of charge sheet / letter of explanation, follow up on explanation by the staff and prepare recommendation paper for decision on disciplinary action. - Handle staff grievances and advising line managers in...