Senior Fraud Investigations Manager

2 weeks ago


Kuala Lumpur, Kuala Lumpur, Malaysia Prudential BSN Takaful Berhad Full time

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:

  1. Assisting the immediate supervisor in managing fraud claims efficiently.
  2. Meeting or exceeding management's expectations regarding operational processes related to claims.
  3. Conducting thorough investigations of complex claims to identify potential fraud, waste, and abuse.

This involves collaborating with the Claims Fraud Investigation team to gather evidence and rule out fraudulent activities, providing recommendations on claims handling based on investigation findings.

Key Responsibilities:

  1. Data Analysis and Reporting - Coordinating Fraud, Waste, and Abuse MI and Intelligence
  2. Reviewing fraud claims data to identify patterns, anomalies, and emerging threats.
  3. Analyzing associated risks, trends, and the effectiveness of fraud prevention and detection activities.
  4. Preparing daily, monthly, and ad-hoc statistical reports related to claims and fraud.

Requirements:

  1. Tertiary education in any field. A relevant degree such as Accounting, Finance, Law, Economics, Business, Education, Engineering, Biomedical/Biotechnology/Bioscience/Business Administration/Mathematics/Economics is preferred.
  2. Minimum 3 years' experience in life insurance/takaful/claims operations and management.
  3. Proficiency in analyzing large datasets using tools like Excel, SQL, or specialized data analytics software.
  4. Ability to interpret statistical findings and apply them to fraud investigations.
  5. Familiarity with data visualization tools like Power BI.


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