Claims Fraud Specialist

The Fraud Analyst role plays a key part in our global claims cost containment strategy. The ideal candidate will have an inquisitive mind and be focused on ensuring we prevent fraudulent activity/waste and abuse at all stages of the claim journey.The role requires the ability to multitask across numerous disciplines within the global claims department and is...

Main Responsibilities:Work with the Global Claims Function to identify, investigate, and remediate Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of Oman.Represent the Global Claims Fraud Framework to our Colleagues, Customers, and our Network of Health Service Providers.Capture and report all...

About the RolePetroleum Development Oman is seeking an experienced Senior Claims Management lead to join our team. This key role will oversee the entire claims management process, providing a robust and consistent approach to assessment and resolution of claims.The successful candidate will lead the Claims Management Team in identifying and mitigating...

Company OverviewNextcare is a leading healthcare provider, dedicated to delivering exceptional medical services and insurance solutions. We pride ourselves on our commitment to excellence, innovation, and customer satisfaction.Job DescriptionMedical Claims OfficerWe are seeking an experienced Medical Claims Officer to join our team. The successful candidate...

About the Role:This Compliance Auditor role is key to our global claims cost containment strategy. As a strong self-starter with excellent time management skills, you will be responsible for identifying and mitigating risks associated with Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of...

ResponsibilitiesThe successful candidate will be responsible for:Developing and implementing comprehensive project budgetsEnsuring cost efficiency and accurate financial forecastingLeading the preparation of Bills of Quantities (BOQs) for tendersReviewing and certifying interim payments, final accounts, and retention releasesAdministering FIDIC/Oman Standard...

Job OverviewWe are seeking a skilled Contract Management Specialist to join our team. The successful candidate will be responsible for managing the entire contract lifecycle, from preparation to execution and close-out. This includes coordinating with stakeholders, drafting contracts, conducting negotiations, and ensuring compliance with regulatory...

Company OverviewWe are a leading organization in the Oil & Gas industry, committed to delivering exceptional results through innovation and expertise. Our team is dedicated to providing world-class services, and we are seeking a talented Contract Management Specialist to join us.Role DescriptionThis position involves managing the entire contract lifecycle,...

About the RoleThe successful candidate will be responsible for executing the complete tendering process, compiling a tender evaluation plan, providing commercial guidance, bidders selection, preparing bid documents, prequalification documents, bid evaluations, contract negotiations and contractor selection related to Project Delivery and related...

Job DescriptionRemarkable people, trusted by clients to design and advance the worldWood is recruiting for a Sr. Buyer to join its Projects team focusing on delivering across FEED and Detail design scopes of work. In this role, you will be responsible for the delivery of specific category management initiatives across the business unit.Implementing category...