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!