Risk and Fraud Analyst
I Growh Services LLP
Navi Mumbai, Maharashtra, India1h agovia LinkedIn
About the Role
We are seeking a detail-oriented Risk and Fraud Analyst to join our team in Maharashtra. This role requires a strong analytical mindset and the ability to work collaboratively with cross-functional teams to enhance fraud detection and prevention strategies.
Key Responsibilities
- Conduct thorough investigations into suspected fraudulent activities, utilizing various analytical tools and techniques.
- Analyze data related to fraud incidents to identify patterns and trends that can inform risk management strategies.
- Collaborate with medical billing teams to ensure compliance with regulations and to minimize denial rates.
- Develop and implement risk assessment frameworks to proactively identify potential fraud risks.
- Prepare detailed reports on findings and present recommendations to management for improving fraud detection processes.
- Stay updated on industry trends and best practices in fraud prevention and risk management.
Requirements & Tech Stack
- Strong understanding of risk assessment methodologies and fraud detection techniques.
- Experience in fraud investigation and analysis, particularly in the context of medical billing.
- Excellent analytical and problem-solving skills.
- Ability to communicate findings effectively to both technical and non-technical stakeholders.
- Proficiency in data analysis tools and software.