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 abuse

Collaborate with data teams to define business requirements for FWA detection models

Translate operational insights into data features for predictive modeling and anomaly detection

Validate analytical outputs and ensure alignment with claims logic and regulatory standards

Support the development of dashboards and reporting tools for monitoring suspicious activity

Recommend corrective actions and process improvements based on analytical findings

Train claims teams and external partners on emerging fraud trends and prevention techniques

Communicate complex insights in clear, actionable terms to non-technical stakeholders

Qualifications:

8+ years of experience in health claims management, including 3+ years in fraud detection

Familiarity with data analytics concepts (e.g., predictive modeling, anomaly detection)

Ability to work with SQL, Power BI/Tableau, and understand data pipelines

Deep understanding of health insurance workflows, coding standards, and regulatory compliance

Strong analytical thinking, communication, and stakeholder engagement skills

Preferred Skills:

Exposure to machine learning applications in healthcare

Experience with FWA tools (e.g., SAS Fraud Framework)

Certification in fraud examination (CFE) or healthcare compliance

What we offer:

Extensive training opportunities - on-demand and on-site options

Partnership with multiple educational institutions across Greece for advanced education, with tuition support

Comprehensive Health Insurance that keeps you safe, with peace of mind and financial protection in times of need

Pension Scheme to secure your financial future

Well-being and work-life balance

One-time budget for home-office equipment to make your work-from-home comfortable

Recognition and rewards for excellence

Monthly meal allowance

Recently renovated offices, central location, with easy access

Ready 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!

REQ2703820