Lead Specialist - Claims (Fraud, Waste & Abuse)

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

• Minimum 6 years of experience assessing inpatient and outpatient medical reimbursement claims, with a solid understanding of billing practices.

• Minimum 3 years of experience medical claims investigation. Experience on Fraud, Waste and Abuse (FWA) will be an added advantage.

• Bachelor's degree in Biomedical Science, Biotechnology, Biology, Health Science or related fields.

• Demonstrated ability to analyze claims data and detect abnormal billing patterns.

• Strong analytical and problem‑solving skills, with high attention to detail and accuracy when reviewing claims and supporting documentation.

• Office Location: We will be moving to IOI Tower, Putrajaya in Quarter 3 of 2026.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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