Health Claims Handler & FWA Analytics Expert

About us:At NN Hellas, we’re proud to be the #1 insurance company in Greece, offering innovative insurance solutions across the country since the 1980s. We’re also proud to be recognized as a Top Employer for 7 consecutive years, thanks to our commitment to our people and their growth.What you will do:You will lead initiatives to detect, prevent, and mitigate Fraud, Waste, and Abuse (FWA) in health insurance claims. You’ll combine operational claims expertise with data analytics, working closely with data scientists, engineers, and compliance teams to design and implement solutions that protect our customers and reduce financial risk.Your day-to-day:Review health claims and identify patterns or anomalies that may indicate fraud or abuseCollaborate with data teams to define business requirements for FWA detection modelsTranslate operational insights into data features for predictive modeling and anomaly detectionValidate analytical outputs and ensure alignment with claims logic and regulatory standardsSupport the development of dashboards and reporting tools for monitoring suspicious activityRecommend corrective actions and process improvements based on analytical findingsTrain claims teams and external partners on emerging fraud trends and prevention techniquesCommunicate complex insights in clear, actionable terms to non-technical stakeholdersQualifications:8+ years of experience in health claims management, including 3+ years in fraud detectionFamiliarity with data analytics concepts (e.g., predictive modeling, anomaly detection)Ability to work with SQL, Power BI/Tableau, and understand data pipelinesDeep understanding of health insurance workflows, coding standards, and regulatory complianceStrong analytical thinking, communication, and stakeholder engagement skillsPreferred Skills:Exposure to machine learning applications in healthcareExperience with FWA tools (e.g., SAS Fraud Framework)Certification in fraud examination (CFE) or healthcare complianceWhat we offer:Extensive training opportunities - on-demand and on-site optionsPartnership with multiple educational institutions across Greece for advanced education, with tuition supportComprehensive Health Insurance that keeps you safe, with peace of mind and financial protection in times of needPension Scheme to secure your financial futureWell-being and work-life balanceOne-time budget for home-office equipment to make your work-from-home comfortableRecognition and rewards for excellenceMonthly meal allowanceRecently renovated offices, central location, with easy accessReady to join us?If you’re passionate about protecting the integrity of health insurance operations and enjoy working at the intersection of claims and analytics, we’d love to meet you!