Counter Fraud Assessor - 1 year contract

Key Responsibilities

• Investigate suspected fraudulent claims thoroughly and objectively ensuring timely analysis and professional reporting.
• Analyze claim data and documents to identify patterns of abuse or fraud and recommend further actions.
• Collaborate with legal and law enforcement teams to support investigations including surveillance and evidence gathering.
• Ensure compliance with relevant policies regulations and procedures including financial and legal standards.
• Coordinate with internal teams (e.g. collections auditors) to track recoveries and provide accurate timely information.
• Maintain updated records and meet performance benchmarks for quality productivity and turnaround time.
• Support continuous improvement by contributing to process enhancements and aligning with best practices in claims management.
• Assist in preparing reports and statements to support departmental operations and decision-making.

Requirement

• Min 4 to 8 year experience (preferably relevant experience).
• Any University Degree or Diploma
• Employment Type - Outsource for 1 year (extension depending upon the project Scope.
  
• Local candidates with Valid QID Preferred