Senior Fraud Analyst

The Fraud Analyst role plays a key part in our global claims cost containment strategy. The ideal candidate will have an inquisitive mind and be focused on ensuring we prevent fraudulent activity/ waste and abuse at all stages of the claim journey.

The role requires the ability to multitask across numerous disciplines within the global claims department and is ideally suited to a strong self-starter with excellent time management skills and a desire to develop within the organization

Key responsibilities/What you do:

• Identify & investigate fraudulent activities on ADNIC Health Claims and present fraud reports to the relevant stakeholders
• Participate in the role of Auditing & FWA Reporting of ADNIC Health Claims in line with Operations Auditing Practices, and regulatory requirements.
• Review and assess other areas of fraud, waste & abuse risk across ADNIC portfolio to identif...