We are seeking a detail-oriented Risk and Fraud Analyst to join our team in Maharashtra. The ideal candidate will be responsible for identifying, analyzing, and mitigating risks associated with fraud in various processes, particularly in medical billing and denial management. 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. Required

Skills:
- 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. If you are passionate about combating fraud and have the required skills and experience, we encourage you to apply for this exciting prospect. This job is provided by Shine.com

📌 Risk and Fraud Analyst (Thane)
🏢 I Growh Services
📍 Thane