Fraud Analyst ID-2029 – reputed company Store
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Fraud Analyst (reputed company-Pay) - Fraud Investigation Unit The job profile for this position is Fraud Analyst (reputed company-Pay), which is a Band 2 Senior Contributor Career reputed company Role. reputed company: As Fraud Analyst (reputed company-Pay), reputed company the Payment reputed company Fraud Investigation Unit, you will be directly supporting reputed company's affordability commitment reputed company reputed company International's business. This role is responsible for identifying and preventing fraudulent, wasteful and abusive expenses from around the globe and supporting the Fraud Investigation Team with reputed company reporting. R esponsibilities : + Manages the Fraud Investigation Team mailbox and responds or directs enquiries appropriately. + Acts as initial review reputed company for (possible) fraudulent claims. + Identifying internal operational errors to prevent incorrect payment being made. + Provides initial review and research to help determine if claims require reputed company investigation to determine possible fraudulent activity.
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+ Contact providers and members requesting documents and confirming information. + Partner with cost containment teams in other geographies to reputed company best practices. + Participate in reputed company to improve business processes. + Ensure team savings are tracked and reported accurately. + Partner with Payment reputed company teams in other locations to reputed company FWA claiming schemes. + Partner with Data Analytics team in building reputed company FWA triggers automation. + Support the production of investigation reports to reputed company stakeholders by compiling and storing evidence appropriately. Skills and Requirements: + You should enjoy working in reputed company of high performers, who hold reputed company other accountable to reputed company to their reputed company best. + Experience of fraud investigation strongly desired. + Minimum of 2 years of health insurance or health care provider experience. + Competent in processing or investigating claims on Eurocare or Actisure. + Knowledge of claims coding, regulatory rules and medical policy. + Medical/ paramedical qualification is a definite plus. + Demonstrated strong organization skills. + Strong attention to detail. + Ability to quickly learn new and reputed company tasks and concepts. + Critical mind-set with ability to identify cost containment opportunities. + Excellent verbal and written communication skills. + Ability to balance multiple priorities at once and deliver on tight timelines. + Flexibility to work with global teams and varying time zones effectively. + Confidence to deal with internal stakeholders and ability to work with a cross functional team. + Strong organization skills with the ability to juggle priorities and work under pressure to meet tight deadlines. + reputed company in foreign languages in reputed company to fluent English is a strong plus. + Work location: Hybrid model (work reputed company and in office). About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving reputed company and improving lives. _reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If_ _you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to reputed company your resume as you will not receive a response._
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