Fraud Management, Consultant
2 weeks ago
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 support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we'd love to hear from you.
About the Role
This role plays a vital role in safeguarding our organization by detecting and preventing fraud. This role requires strong analytical skills to evaluate data and identify patterns to detect potential fraud and attention to detail for reviewing the claim accurately.
WHAT YOU'LL BE DOING
- Utilize data analysis technique to identify trends and patterns in claims that may indicate fraudulent activity.
- Conduct thorough investigation and assessment of Claims suspicious of fraudulent intent.
- Conduct interview with claimants/FSCs to gather information and gather details
- Collect and document evidence relating to the fraudulent claim ensuring compliance standard.
- Prepare detailed reports summarizing findings, evidence and recommendations for actions on Policy & claims for Senior Management
- Ensure timely resolution and adherence to deadline.
- Develop and Implement fraud prevention strategies and training to staff/Agency Force.
- Perform other related duties as requested.
WHAT WE ARE LOOKING FOR
- Degree and above.
- Minimum 5 years of working experience handling Commercial/Financial crime investigation.
- Possess investigation & interrogation skills.
- Have an analytical mindset.
- In-depth legal knowledge in Commercial/Financial crime and prosecution process/procedures.
- Willing to travel off site for investigation.
- Good interpersonal and written skills.
- Proficient in MS Office Suite.
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
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