forensic/investigative claims assessing or dealing with fraud, waste and abuse claims in a medical scheme . identification of "codes" to investigate/identify fraud, waste and abuse claims and submission of claim of the scheme and minimize losses pertaining to fraud, waste and abuse claims.
Educational
CONTRACT CONTRACT CONTRACT
Fraud/Claims with Online Purchases:
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for Fraud and Risk to be responsible for developing and implementing strategies to mitigate fraud and organisation's operations. This role involves overseeing fraud prevention measures, analysing risk factors, and experience of 5 years in operations management (Fraud and Risk), preferably in the technology or financial management experience.
Fraud Operations:
industry partner is looking for a highly analytical Fraud Data Scientist to join their team Job Description: seeking a Data Scientist to join their fight against fraud. In this role, you will use your expertise to uncover positioning the organization as a key player in national fraud prevention. Here's a breakdown of what you'll be to identify emerging fraud trends and vulnerabilities. Develop and maintain fraud detection models that systems and processes to stay ahead of evolving fraud tactics. This role is perfect for someone who thrives
Certificate / Training in Fraud Risk Management 2 - 3 years' experience in Fraud Risk and/or, Call Centre suspected fraud cases with forensic methodology. Identify trends and alerts to create fraud monitoring processes to proactively manage fraud mitigate exposure. Ensure that Fraud cases (calls and emails) are notes on the fraud monitoring and case management systems. Analyse alerts flagged on the fraud monitoring activity with customers to detect / prevent fraud (all fraud types) Ensure that procedures are always followed
Certificate / Training in Fraud Risk Management 2 - 3 years' experience in Fraud Risk and/or, Call Centre suspected fraud cases with forensic methodology. Identify trends and alerts to create fraud monitoring processes to proactively manage fraud mitigate exposure. Ensure that Fraud cases (calls and emails) are notes on the fraud monitoring and case management systems. Analyse alerts flagged on the fraud monitoring activity with customers to detect / prevent fraud (all fraud types) Ensure that procedures are always followed
industry partner is looking for a highly analytical Fraud Data Scientist to join their team Job Description: seeking a Data Scientist to join their fight against fraud. In this role, you will use your expertise to uncover positioning the organization as a key player in national fraud prevention. Here's a breakdown of what you'll be to identify emerging fraud trends and vulnerabilities. Develop and maintain fraud detection models that systems and processes to stay ahead of evolving fraud tactics. This role is perfect for someone who thrives
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identified fraud risks, potential instances and known system weaknesses that may lead to fraud and/ or other address current fraud trends and mitigate against and prevent the future occurrence of fraud and/ or other controls to support the business’ resilience to fraud and unethical behaviour.
identified fraud risks, potential instances and known system weaknesses that may lead to fraud and/ or other address current fraud trends and mitigate against and prevent the future occurrence of fraud and/ or other business' resilience to fraud and unethical behaviour. Oversee, initiate and plan fraud awareness campaigns qualification: CFE. 9 years of the following forensics/ fraud experience. Conducting forensic investigations within relation to forensic investigations and fraud awareness strategies. Fraud awareness training/ learning and development