Fraud Analyst – Must be proficient in French language
BrighterMonday Consulting
Nairobi, Kenya
4d ago
source : BrighterMonday

Assessment New

Fraud Analyst Must be proficient in French language

BrighterMonday Consulting

Quality Control & Assurance

BrighterMonday Consulting

Quality Control & Assurance

Nairobi Full TimeHealthcare KSh Confidential 1hWhy is there a skills assessment?The employer wants to assess each candidate equally and fairly, and give you the opportunity to show your abilities.

How long is the assessment?Normally between 25 - 45 mins depending on the skill being assessed.Can I retake the assessment?

No, you can't re-take an assessment Make sure you are ready and can focus 100% with no distractions.

Job Summary

Our client provides health insurance services around the world and are passionate about helping people improve their health, well-being, and sense of security.

  • Minimum Qualification : Bachelor
  • Experience Level : Mid level
  • Experience Length : 2 years
  • Job Description

    YOUR RESPONSIBILITIES

  • You review and analyze triggered cases based on pre- and post-payment risk assessments and take appropriate action.
  • You assist in analyzing files that are passed on to the FWA team for suspected fraud, waste or abuse.
  • You support the team of investigators in gathering facts on suspected cases with a special focus on African health care providers.
  • You give advice for claims release and track steps taken accordingly.
  • You assist in reaching out to suspected providers in Africa and conduct fact-finding interviews.
  • You help reveal patterns of fraud, waste or abuse in your designated region through data-mining exercises.
  • Based on your initial analysis, you are able to summarize your findings in a report, to be directed to the region’s senior investigator.
  • You follow-up with stakeholders to ensure deadlines are met and any delays are communicated proactively.
  • You manage your workload proactively, communicating with your manager any risks or challenges to targeted completion dates.
  • You are able to identify and take an active role in optimizing workflows of the department.
  • You take initiative and show confidence in your correspondence with internal and external parties.
  • YOUR PROFILE

  • You have a bachelor degree or equivalent through experience. Any prior experience in the field is preferred.
  • You have an excellent knowledge of English and French. Any additional languages are a plus.
  • Good medical knowledge or a strong interest in exploring the medical field is preferred.
  • You have a strong knowledge of Microsoft Office, especially Excel.
  • You are analytical and have a critical mindset.
  • You are decisive and able to work independently as well as within a team.
  • You act with the highest integrity and respect for procedures and regulations.
  • You work efficiently and accurately.
  • You are excellent in setting priorities.
  • OUR OFFER

  • A challenging job in an international and growing enterprise.
  • A dynamic, and entrepreneurial company culture that values and stimulates initiative.
  • Salary 85,000 gross with extralegal benefits and international medical cover.
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