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 identify potential fraud or misrepresentation.
• Ide...