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We are looking for a Senior Health Claims Expert – Individual Claims to join our Life &amp; Health Claims Division. In this role, you will lead initiatives to detect, prevent, and mitigate Fraud, Waste, and Abuse (FWA) across health insurance claims, combining deep operational expertise with advanced analytics. You will collaborate closely with data scientists, engineers, and compliance teams to design and implement solutions that strengthen claims integrity and minimize financial risk.What You Will Do:Claims Expertise &amp; Oversight<ul><li>Provide subject matter expertise on health claims processes, adjudication rules, and regulatory compliance.</li><li>Review and validate claim patterns, anomalies, and high‑risk indicators identified through analytics.</li></ul>Collaboration with Data Teams<ul><li>Partner with data analysts and engineers to define business requirements for FWA detection models.</li><li>Translate operational insights into data features used in predictive modeling and anomaly detection.</li><li>Validate model outputs and ensure alignment with business logic and balanced risk‑based decisions.</li></ul>Fraud Detection &amp; Prevention<ul><li>Support the development of advanced FWA strategies leveraging analytics, AI, and rule‑based systems.</li><li>Contribute to the creation of dashboards and reporting tools for monitoring suspicious claim behaviors.</li><li>Recommend corrective actions and process improvements based on analytical findings.</li></ul>Stakeholder Management<ul><li>Communicate complex analytical insights to non‑technical stakeholders in a clear and actionable manner.</li><li>Train claims teams (including TPA partners) on emerging fraud trends and data‑driven prevention techniques.</li></ul>What You Bring:Required<ul><li>8+ years of experience in health claims management, including at least 3 years in fraud detection.</li><li>Familiarity with analytics concepts (predictive modeling, anomaly detection).</li><li>Ability to work with SQL and dashboards (Power BI/Tableau), and understand data pipelines.</li><li>Strong understanding of the health insurance market, coding standards, and claims workflows.</li><li>Excellent analytical thinking, communication, and stakeholder engagement skills.</li></ul>Preferred<ul><li>Exposure to machine learning applications in healthcare.</li><li>Experience with FWA tools (e.g., SAS Fraud Framework).</li><li>Certification in fraud examination (CFE) or healthcare compliance.</li></ul>What We Offer:• Extensive training opportunities – on-demand and on-site • Partnerships with educational institutions across Greece for advanced study, with tuition support • Comprehensive Health Insurance for peace of mind and financial protection • Well-being support and work–life balance • One‑time budget for home-office equipment • Recognition and rewards for excellence • Monthly meal allowance • Newly renovated, centrally located offices with easy access

Senior Health Claims Expert (Individual Claims)

To meet current corporate needs, we would like to bring to our team a:&nbsp;&nbsp;FCP&amp;A Senior Analyst - Group Business PlanningMarousi- Golden Hall offices&nbsp;We are seeking a highly motivated Business Planning Senior Analyst to join our Group Business Planning team in the Finance Department.&nbsp;Job SummaryOur new colleague in this position will be a dedicated financial modeler. They must have an excellent understanding of Excel to perform complex financial analyses. Duties include building, analyzing and maintaining financial models, performing results and other ad hoc analyses. The ability to work well under pressure and meet tight deadlines is a must.&nbsp;In detail, the Senior Analyst will have the following responsibilities:&nbsp;&nbsp;<ul><li>Build &amp; maintain financial models in excel based on historical information and other available industry-specific operating metrics</li><li>Participate in the preparation of Group Management Financial Statements report for periodic results. Perform variance analysis (revenue and cost variances against budget and prior year), as well as profitability and cash flow analysis</li><li>Participate in the preparation of the Budget and Rolling Forecast, being involved in all stages of the Budget process, including the preparation of Financial Statements (P&amp;L, Balance Sheet and Cash Flow Statement)</li><li>Ensure the models’ accuracy while proposing enhancements to existing models</li><li>Provide financial support and analysis to Operation area for strategic business decisions through ad hoc reports</li><li>Preparation PowerPoint presentations on monthly results, Budget and other ad-hoc requests for Group Top Management</li></ul>&nbsp;&nbsp;You would be a great fit for this role if you meet the following criteria:&nbsp;Academic Qualifications:<ul><li>Bachelor’s Degree in Accounting, Finance, Economics or Business Administration, ideally combined with a Master’s Degree</li><li>Advanced proficiency in MS Office, especially Excel and PowerPoint</li><li>Excellent command of the English language</li><li>Professional qualifications such as ACCA or CFA would be considered an asset</li></ul>&nbsp;&nbsp;Professional Experience:&nbsp;<ul><li>About 5-8 years of relevant professional experience, in FP&amp;A, Deals / Advisory Department</li><li>Experience with SAP</li><li>Basic Knowledge of the real estate market would be considered an asset</li></ul>&nbsp;Skills &amp; Capabilities:&nbsp;<ul><li>Advanced Excel skills, with the ability to build clear and user-friendly financial models</li><li>Solid knowledge of basic accounting principles and a strong understanding of financial analysis concepts and best practices, including DCF, NPV, IRR, and financial statements</li><li>Keen attention to detail and the ability to analyze large datasets to extract meaningful insights</li><li>Excellent time management skills, including the ability to work under pressure to meet tight deadlines</li><li>Strong problem-solving and decision-making skills</li></ul>&nbsp;Our Company offers:&nbsp;Our vision is to bring to life the largest urban regeneration project in Europe. So, we need to attract the most talented people in our industry and offer all the necessary means and procedures to support them, not only to fill their job description but also to rise above and beyond expectations.&nbsp;Thus, we do provide:&nbsp;<ul><li>A passionate working environment</li><li>A competitive compensation package according to professional experience, combined with additional benefits</li><li>An exceptional opportunity to work in and develop one of the most challenging Companies in Greece!</li></ul>

FCP&A Senior Analyst, Group Business Planning (1741)

Intellectica is recruiting a Junior Finance Associate on behalf of its client, an HCMC-licensed financial institution specialising in electronic market making and liquidity provision exclusively in Exchange Traded Products. Based in Athens, the company operates within a highly regulated and international environment, with strong emphasis on accuracy, transparency, and robust financial reporting.The successful candidate will join a small and growing Finance team and will report directly to the Head of Finance. The role offers hands-on exposure across core accounting and finance activities, while providing strong learning opportunities and involvement in group and international reporting processes.&nbsp;Key activities and responsibilities of this role include:<ul><li>Supporting the company’s day-to-day accounting operations and financial reporting activities under the guidance of the Head of Finance</li><li>Recording and reconciling accounting entries in the general ledger, ensuring accuracy and completeness</li><li>Assisting with daily bookkeeping activities and maintaining proper accounting documentation</li><li>Supporting Accounts Payable and Accounts Receivable processes, including invoice processing, payment tracking, and reconciliations</li><li>Supporting the use and set-up of the accounting ERP system (Pylon by Epsilonet) and related processes</li><li>Assisting with month-end and year-end closing procedures and basic financial reporting</li><li>Supporting tax-related processes, including myDATA reporting, in collaboration with external auditors</li><li>Assisting in the preparation and transformation of financial data from Greek GAAP to group reporting standards (Korean GAAP)</li><li>Supporting group and management reporting to international stakeholders</li><li>Collaborating with internal teams and external auditors on audits and ad-hoc finance requests</li><li>Any other task that may be required from time to time</li></ul>Professional experience &amp; qualifications of a successful candidate:<ul><li>Bachelor’s degree in Accounting, Finance, or a related field, with a Master’s degree considered a strong asset</li><li>Up to 3 years of experience in accounting, finance, audit, or similar roles; recent graduates with relevant internships are welcome to apply</li><li>Understanding of double-entry bookkeeping, with exposure to IFRS, financial reporting, and the Greek tax framework, including myDATA, viewed as an advantage</li><li>Comfortable use of the Microsoft Office suite, particularly Excel</li><li>Hands-on exposure to ERP systems; prior experience with Pylon (Epsilonet) is a plus</li><li>Strong command of English, both written and spoken</li><li>Willingness to participate in international collaboration and occasional travel as part of the role</li><li>Military obligations fulfilled, where applicable</li></ul>&nbsp;Core competencies of a successful candidate:<ul><li>Strong attention to detail and accuracy</li><li>Organized and structured working approach</li><li>Willingness to learn and develop within a finance role</li><li>Ability to work effectively within a small team</li><li>Clear communication and professional attitude</li><li>Reliability and sense of responsibility</li></ul>&nbsp;

Job Ads Marketing Manager Attica, Finance - Page 2

senior health claims expert (individual claims)

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