เงื่อนไขการค้นหา

ทักษะ:

Research, Risk Management, Microsoft Office

ประเภทงาน:

งานประจำ

• Transaction Monitoring:Analyze transactions in real-time using fraud detection tools and rules.
• Identify suspicious activity based on pre-defined risk profiles and behavioral patterns.
• Investigate flagged transactions and determine their legitimacy.
• Escalate high-risk cases to the Fraud Management team for further investigation.
• Fraud Investigation:Gather and analyze evidence related to suspected fraudulent activity.
• Conduct research to identify potential fraud schemes and perpetrators.
• Document findings and recommend appropriate actions, such as blocking accounts, recovering funds, or reporting to law enforcement.
• Collaborate with internal teams (customer support, risk management) to resolve cases effectively and efficiently.
• Data Analysis & Reporting:Analyze fraud trends and patterns to identify emerging threats and adjust detection rules accordingly.
• Generate reports on fraud activity, providing insights to the Fraud Management team and senior management.
• Track and measure the effectiveness of fraud prevention and detection measures.
• Stay Informed:Stay up-to-date on the latest fraud threats, trends, and best practices.
• Participate in ongoing training and development opportunities to enhance your skills and knowledge.
• Minimum of 2-3 years of experience in fraud analysis or a related field.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and ability to identify anomalies in data.
• Proficient in Microsoft Office Suite,SQL language and data analysis tools.
• Understanding of fraud detection and prevention techniques preferred.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Bachelor's degree in business administration, finance, IT, engineering, or a related field preferred.

ทักษะ:

Safety Management, Risk Management, Compliance

ประเภทงาน:

งานประจำ

• Initiate, plan, advise, support on all Process Safety Management, HSE risk management and loss prevention, fire prevention and protection system related matters to ensure compliance to relevant international standard with continuous improvement to avoid all accidents/ incidents and reduce potential risk of loss.
• Maintain high morale and team spirit among team members with advising, training, encouraging and motivating, so that work is carried out with high professional standard and best practices.
• EDUCATION.
• BSC. In Chemical Engineer, Loss management Engineer or Safety Engineer at least 10 years experience of practical orientated.
• Safety Engineering design background.
• EXPERIENCE.
• Knowledge of safety in process design legislations and international standard.
• Technical expertise in fire prevention and protection system engineering design to compliance with international code and standard (DEP, NFPA, API, etc) e.g fire & gas detection and protection philosophy, fire & gas location layout, fire & gas mapping, fire and toxic hazard analysis, firefighting equipment specification, fire water demand, fire proofing, fire water distribution system, etc
• Experience in heat radiation & gas dispersion modelling study using PHAST software, report and recommendation to ensure designs and operations are consistent with ALARP.
• Knowledge and experience of risk assessment methodology e.g. Bow Tie, HAZOP, etc
• Experience in refinery and petrochemical safety design and construction safety management
• Proactive and excellent problem solving with analytical thinking skills.
• Positive influencing: ability to convince others, gain agreement or acceptance of plans activities and ability to move others willingly towards a desired goal or course of action.
• Strong communication and interpersonal skills, essential in dealing with people at all levels and in a variety of functions and be able to influence and motivate others to quickly achieve results.
• Strong leadership, initiative, teamwork and quality orientation/attention to detail.
• Effective presentation, training, and facilitation skills.

ทักษะ:

Negotiation

ประเภทงาน:

งานประจำ

• Review claims history for all health riders and AI before due date, 30 days in advance and consider non-renewal or copayment based on the review and ensure timely and accurate processing claims for decision-making.
• Process voiding policies upon discovering material misrepresentation or non-disclosure and ensure this process is completed within 30 days of identifying the issue.
• Maintain through documentation of the voiding process and reasons for policy voidance.
• Collect and analyze data on non- renewal and voided policies.
• Highlight trends, insights, and recommendation based on the collected data.
• Conduct through investigations of suspicious claims, including reviewing documentation and coordinating with the relevant stakeholders.
• Prepare detailed reports on findings and actions taken.
• Present reports and recommendations to senior management as required.
• Provide insights and recommendations for improving fraud detection strategies.
• Assist in developing and implementing rules and guidelines to improve the detection and prevention of fraudulent claims.
• Gather, analyze, and interpret relevant data to inform decision-making processes, ensuring that decisions are based on accurate and comprehensive information.
• Monitoring the impact of rule changes on STP rates and making further adjustments as needed.
• Bachelor or Master degree with medical background.
• The Professional Nursing and Midwifery License or another related Medical License LOMA or ICA is a plus.
• At least 5-10 years experienced in health claims.
• Experience in dealing with hospital, reinsurer, complaint clarification and negotiation at OIC and other external firms is required.
• Experience of the co-project / team member or system enhancement.

ประสบการณ์:

3 ปีขึ้นไป

ทักษะ:

Accounting, Legal, Financial Analysis, Risk Management, English

ประเภทงาน:

งานประจำ

• Conduct an investigation of any matter, value or size at its sole discretion according to the Fraud Risk policy, to assist the Audit Committee / Board of Directors in obtaining the assurance it requires regarding the identified gaps, internal control deficiencies, modus operandi employed and the extent and impact of such fraudulent activities to the CIMB Thai Bank Group.
• Prepare and deliver timely and informative investigation reports in English to an agreed quality standard.
• Develop effective approach for recognize fraud actions constantly.
• Regulatory reporting as required by the relevant regulations, if any.
• At least bachelor's degree or Professional Qualification in the relevant discipline (Accounting/ Finance/ Economics/ Law).
• Minimum 5 years of relevant work experience.
• Minimum 3 years of experience in banking and securities business compliance in a banking role in established financial institutions.
• Experience of conducting investigative interviews is essential.
• Strong evidence collection ability to support fraud investigation.
• Strong interpersonal skills and strong verbal and written communication skills.
• Be able to work under high pressure with a growth mind set.
• Good team player and work independently.
• Strong command of English in report writing and speaking preferred.