Job Description

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