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Open nowFirst seen 5 days ago

Claim Fraud Management Assistant Manager

PT Apex Nusantara Indo251 open roles

Where
South Jakarta, Jakarta, Indonesia
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Your applicationOpen nowClaim Fraud Management Assistant ManagerPT Apex Nusantara Indo · South Jakarta, Jakarta, Indonesia

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on PT Apex Nusantara Indo's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 58.1%60 days
This job: first seen 5 days ago

The posting

Requirements;

  • Min Bachelor Degree degree in any major
  • Min 6 years working experience on Fraud Claim Management area and preferably with audit and investigation skills background.
  • Experiences with Fraud Claim, Claim Audit and Claim Investigation Communication.
  • Solid knowledge and strong competency of general insurance business and claim process.
  • Certified Fraud Examiner (CFE) is a plus.
  • Excel and Power BI
  • Dana Analytic Skill, Audit and Investigation skills
  • Implement and monitor company's strategy towards improving fraud saving.
  • Identify potential frauds through regular CFR (Close File Review), OFR (Open File Review) and incidental reports/indications by team Claim or other parties.
  • Assess the extent, materiality, and factuality of suspicious cases through on-site and/or off-site investigations.
  • Propose recommendation for follow up on confirmed fraud cases to relevant departments.
  • Produce Fraud Reports for both regional and internal purposes.
  • Investigate any suspicious claims.
  • Produce CFR & OFR Report with proposed/recommended corrective actions.
  • Analyze monthly data set for potential fraud identification and recommendation for improvements.
  • Set proper fraud alert rules for fraud detection and analysis purposes and continuously updating and monitoring the implementation of fraud rules to prevent fraud effectively.
  • Improve fraud awareness among claim staffs through socializations and/or publications.
  • Propose recommendation for follow up on confirmed fraud cases to relevant departments.
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