Manager, Fraud, Waste
4 days ago
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 people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.
- The Manager in Medical Claims Fraud, Waste, and Abuse (FWA) role is pivotal to safeguard the integrity of health governance framework by developing and implementing robust policies and procedure to detect, prevent and manage FWA in medical claims processing. This position ensures compliance to regulatory and clinical standards and working closely with the other stakeholders to enhances the efficiency and effectiveness of fraud detection and prevention efforts within the organization (including but not limited to developing and implementing policies, training programs, and detection algorithms. He is a key player in the organization, working closely with various departments within the company and regional office to ensure a seamless integration of solutions to identify and prevent FWA. The role is crucial in enhancing sustainability as well as reducing the claim loss ratio. The deputy manager collaborates with external partners and vendors to ensure effective integration and required enhancement of these solutions within the PruBSN process. This position is essential in aligning FWA initiatives in different departments e. g. claims, quality assurance, underwriting and maintaining compliance to the regulatory and industry standard._
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Director, Fraud, Waste, and Abuse
2 days ago
Kuala Lumpur, Kuala Lumpur, Malaysia Control Risks Full time 120,000 - 240,000 per yearControl Risks is partnering with a key client, a highly recognisable brand in the insurance industry, to recruit and embed an experienced FWA (Fraud, Waste, and Abuse) professional who will oversee the client's 2nd line of defence as it relates to FWA.This role will commence with a 6 or 12 month fixed-term contract and will have good opportunity to become...
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Director, Fraud, Waste, and Abuse
2 days ago
Kuala Lumpur, Malaysia Control Risks Full timeControl Risks is partnering with a key client, a highly recognisable brand in the insurance industry, to recruit and embed an experienced FWA (Fraud, Waste, and Abuse) professional who will oversee the client's 2nd line of defence as it relates to FWA. **Responsibilities**: - Key role in the development of the global FWA strategy, ensuring alignment with...
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Kuala Lumpur, Malaysia Prudential plc Full timePrudential’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...
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Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Plc Full time 100,000 - 120,000 per yearPrudential'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...
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Kuala Lumpur, Kuala Lumpur, Malaysia Prudential plc Full time 80,000 - 120,000 per yearPrudential'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...
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Associate Director, Fraud, Waste, Abuse
4 days ago
Kuala Lumpur, Malaysia AIA Full timeFIND YOUR 'BETTER' AT AIA - We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us._ - We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can...
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Medical Advisory, Case
6 days ago
Kuala Lumpur, Malaysia AIA Full timeAt AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...
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Medical Advisory, Case
1 week ago
Kuala Lumpur, Malaysia AIA Full timeAt AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...
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Manager-fraud-management
2 weeks ago
Kuala Lumpur, Malaysia Aeon Full time**Responsibilities**: To conduct desk and field investigation for both issuing and merchant acquiring fraud. - To identify gaps along the processes to minimize fraud risks.- Investigate and resolve any fraud cases with comprehensive findings and recommendations. - Conduct interviews and/or interrogation with customers and staff pertaining to fraud issues. -...
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Manager, Fraud Management
9 hours ago
Kuala Lumpur, Malaysia Affin Bank Full timeManager, Fraud Management **Create the future with Affin! You too can make a difference.** We continuously innovate to transform our financial services landscape - making banking better and easier. Join us at AFFIN, where the open minds meet and be inspired by a shared commitment to great work. Here, you don't just stay at the forefront of the industry -...
