Financial Risk Manager

6 days ago


Muscat, Muscat, Oman Nextcare Full time
About the Role

The Financial Risk Manager will play a pivotal part in our global claims cost containment strategy. This role requires an inquisitive mind and a focus on preventing fraudulent activity/waste and abuse at all stages of the claim journey.

The ideal candidate will be able to multitask across numerous disciplines within the global claims department and have excellent time management skills.

Key Responsibilities:
  • Working with the Global Claims Function, you will identify, investigate, and remediate Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of Oman.
  • You will represent the Global Claims Fraud Framework to our Colleagues, Customers, and our Network of Health Service Providers.
  • You will ensure that all Fraud, Waste & Abuse activities are captured & reported in accordance with the Regulatory requirements.

Requirements:

  • You must hold a Bachelor's Degree in any medical field, Business Administration, Insurance, or a related field, and be legally allowed to work in the Sultanate of Oman.
  • You must have at least 2 years of experience in a customer-focused environment, ideally in a clinical, paramedical, or health insurance role, and be knowledgeable in preparing data using Excel or similar data tools.
  • You must have an excellent level of Arabic and English (written, spoken, listening), and be comfortable with communicating at all levels of an organization in a professional manner.


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