Overview
FWA (Fraud, Waste & Abuse) Specialist Jobs in Dubai, United Arab Emirates at DAMANA
Title: FWA (Fraud, Waste & Abuse) Specialist
Company: DAMANA
Location: Dubai, United Arab Emirates
Our office in Dubai is currently recruiting for a The FWA Specialist who will support the identification, investigation, and prevention of fraudulent, wasteful, or abusive activities within the medical insurance domain.
This role involves assisting with data analysis, documentation, reporting, and coordination with internal teams and external entities to ensure compliance with healthcare regulations and protect organizational integrity.
Education
- Bachelor’s degree in healthcare administration, nursing, medicine.
- Professional certifications (preferred but not mandatory): CFE, CIMA, CPC, CHC, or equivalent healthcare compliance/FWA certifications.
Main Functions and Responsibilities:
- Assist in reviewing medical claims and transactions for irregularities or patterns indicative of fraud, waste, or abuse.
- Support investigations by gathering and organizing relevant documentation, including medical records, billing data, and provider communications.
- Help prepare detailed reports summarizing findings, trends, and recommendations for corrective action.
- Maintain accurate and confidential records of all FWA-related activities.
- Monitor regulatory updates and assist in implementing compliance measures.
- Coordinate with legal, audit, and compliance teams to ensure proper handling of suspected cases.
- Participate in training sessions and awareness programs related to FWA prevention.
- Respond to internal inquiries and assist with external audits or law enforcement requests.
- Assist in reviewing medical claims and transactions for irregularities or patterns indicative of fraud, waste, or abuse.
- Support investigations by gathering and organizing relevant documentation, including medical records, billing data, and provider communications.
Experience
- At least 3 years of hands‑on experience in:
FWA analysis, investigation, or claims audit.
- Proven experience dealing with provider reconciliations and discrepancies.
