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: Team Member - Fraud, Insurance Procurement & Claims File Review
Location: Lagos
Employment Type: Full-time
Key Responsibilities
- Develop CFR Matrix or obtain an existing matrix from the region and customize to suit our entity’s reality.
- Calculate campaign sample size.
- Prepare all documentation needed to run Campaigns.
- Analyse and communicate campaign results to the relevant stakeholders.
- Organize and lead focus group sessions with claims teams to identify improvements to claims process capable of mitigating identified/detected leakage causes.
- Set up triggers that are indications of fraud or attempted fraud within the claims process flow.
- Carry out investigations that may be required from time to time.
- Carry out periodic spot checks to evaluate the implementation of corrective actions and submit timely reports.
- Carry out quarterly Quality Assurance reviews on claims paid within the preceding quarter and present results for review and implementation.
- Follow-up on improvements action plans and communicate progress to all key stakeholders within AXA Mansard Group and/or the Region.
- Be responsible for forecasting leakage evolution.
- Provides necessary assistance to implement and support for Quality Improvement projects
- Any other responsibilities that might be required by the Business, Unit Head / Head of Technical from time to time.
- Claims management (P&C, L&S, and Health Lines of Business)
- Knowledge of Insurance Industry & good knowledge of AXA mansard Group and its businesses.
- Investigative skills
- Team spirit and collaborative
Requirements
Academic/Professional:
- BSc / Degree from a reputable Tertiary Institution in Management, Accounting, Social Sciences or other business-related disciplines, Professional qualification (i.e. ACA or ACCA, AIIN, PM or others of similar equivalence).Possession of an MBA is an advantage.
Work experience:
- 2 – 4 years professional experience in related position.
Job Level:
- This position has been profiled as a minimum Analyst role owing to the defined skill level, years of experience and complexities of the task to be performed.
Grade Level:
- This position has been profiled as a minimum Analyst 8 owing to the defined skill level, years of experience and complexities of the task to be performed.
Application Closing Date
Not Specified.
https://www.hotnigerianjobs.com/hotjobs/916179/team-member-fraud-insurance-procurement-claims-fil.html