Head, Fraud Waste and Abuse Control Unit at AXA Mansard Insurance Plc

AXA Mansard is one of the foremost Financial Institutions in Nigeria that has been offering world class financial services over the years.

We are recruiting to fill the position below:

Job Title: Head, Fraud Waste and Abuse Control Unit

Location: Lagos
Employment Type: Fulltime

Job Summary

• Responsible for the design and implementation of the QA/FWA strategies aligned with AXA Mansard health business strategy to ensure an effective and efficient oversight and maintain business profitability.

Key Responsibilities

• Responsible for the design and implementation of the QA/FWA strategies aligned with AXA and entity health business strategy.
• Defines the target operating model, organization and internal processes for his/her team according to company guidelines
• Monitors the progress of the key KPIs and defines and implements corrective actions when necessary
• Ensures the integration of FWA within operations and its efficiency regarding the customer journey
• Collects all necessary information to further investigate and analyse potential FWA cases (contacts external investigators when required, deep-dives internal files, etc.)
• Gathers all existing evidence to document positive FWA cases, communicates the final decision to the parties involved and initiates the pertinent legal actions (including cancellation of the contract, negotiation with customers/providers, etc.)
• Recommend anti-fraud processes for changing transaction patterns and trends
• Works to establish and maintain good working relationships with internal business partners
• Identifies milestones and obstacles and escalates when project timelines are at risk.

Role Qualification
Academic/Professional:

• MBBS Degree from a reputable Tertiary Institution.
• Relevant postgraduate (MSc, MBA) and/or professional qualification (CFA etc) would be an added advantage.
• 7-8 Years of professional experience in related position

Required Skills and Competencies:

• Medical network knowledge
• Interpersonal effectiveness
• Product knowledge
• Health market environment
• Analytical reasoning
• Project management.

Application Closing Date
Not Specified.