AXA Mansard is a member of the AXA Group, the worldwide leader in insurance and asset management with 157,000 employees serving 103 million clients in 59 countries. The group is a conglomerate of independently run businesses, operated according to the laws and regulations of many different countries. Despite being written in upper case, "AXA" is not an acronym, the name was chosen because it is short and can be pronounced easily the same way in every language. AXA Mansard was incorporated in 1989 as a private limited liability company and is registered as a composite company with the National Insurance Commission of Nigeria (NAICOM). The Company offers life and non-life insurance products and services to individuals and institutions across Nigeria whilst also offering asset/investment management services, medical insurance solutions and pension fund administration through its three subsidiaries AXA Mansard Health Limited, AXA Mansard Investments Limited and AXA Mansard Pensions limited. The company was listed on the Nigeria Stock Exchange in November 2009 and has Market Capitalization in excess of N28 billion thereby remaining the biggest insurance company on the Nigerian Stock Exchange.
JOB DESCRIPTION AND EXPECTATIONS
- Responsible for ensuring the Care Check program achieves its claims savings target through rigorous quality assurance, data integrity management, and fraud pattern detection. This role drives operational excellence by monitoring call quality, identifying systemic fraud trends, correcting data inaccuracies, and providing actionable insights that enable the team to prevent fraudulent and inappropriate claims before they are paid.
Academic/Professional: Bachelor’s degree in healthcare, Business, Statistics, Data Analytics, or related field from a reputable Tertiary Institution, master’s degree, MBA, or certifications in fraud investigation, Six Sigma, healthcare quality is an advantage.
Work experience: 1 -4 Years in Experience conducting quality audits or monitoring.
Job Level: This position has been profiled as a minimum Analyst role owing to the defined skill level, years of experience and complexities of the task to be performed.
Grade Level: This position has been profiled as a minimum Grade Level 8 owing to the defined skill level, years of experience and complexities of the task to be performed.
Key Responsibilities
- Score calls using standardized quality framework (accuracy, professionalism, fraud detection)
- Provide weekly feedback to supervisors for agent coaching
- Conduct calibration sessions to ensure consistent quality standards
- Design and deliver training on fraud detection and validation techniques
- Conduct trend analysis by service type, provider specialty, geographic location, and temporal patterns
- Liaise with IT/Data Management to fix systemic data issues
- Investigate and resolve wrong personal IDs (enrollees with mismatched identities)
- Design and deliver training on fraud detection and validation techniques
- Liaise with IT/Data Management to fix systemic data issues
- Track progress toward 1.5% claims savings target
- Deliver presentations on savings, quality, and fraud trend
- Monitor regulatory compliance (data privacy, consent protocols)
- Analyze savings by provider, service type, team, and period
- Calculate daily, weekly, monthly savings (value of encounters suspended/retracted)
- Prepare daily, weekly, and monthly performance dashboards
Method of Application
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