أخصائي رئيسي مكافحة الاحتيال والهدر وإساءة الاستخدام

About Al Etihad Cooperative Insurance Co

Al Etihad Cooperative Insurance Co is a public joint-stock company established in the Kingdom of Saudi Arabia by a Council of Ministers resolution and a Royal Decree. Specializing in cooperative insurance services, the company has a paid-up capital of 500 million Saudi Riyals. It is an extension of Al Etihad Insurance Company, founded in Bahrain in 1983 as a foreign company operating in Saudi Arabia. In 2008, the company's shares were offered for public subscription and listed on the Saudi Financial Market (Tadawul) under symbol 8170.

The company operates under the supervision and regulation of the Saudi Insurance Authority and is licensed to conduct various insurance activities, including general insurance, medical insurance, motor insurance, and protection and savings insurance. With extensive experience and a commitment to providing excellent customer service, Al Etihad Cooperative Insurance Co has solidified its position as a leading company in the Saudi insurance sector. The company maintains a broad network of regional offices and branches, ensuring accessibility and responsiveness to client needs across the Kingdom. A dedicated team strives continuously to deliver high standards of quality and excellence in insurance services, enhancing customer satisfaction and trust.

The Role

Al Etihad Cooperative Insurance Co is seeking a Senior Anti-Fraud, Waste, and Abuse Specialist to join its team in Al Khobar, Eastern Region. This full-time role requires 5-10 years of experience and involves critical responsibilities in detecting and preventing fraudulent activities within insurance operations. The specialist will play a key role in safeguarding the company's assets and maintaining the integrity of its processes.

Key Responsibilities

• Examine suspicious claims and insurance operations to detect fraud and manipulation.
• Review underwriting and sales processes, verifying the accuracy of data and insurance documents.
• Analyze complaints and reports related to fraud and misuse.
• Review financial operations, collections, and unusual payments, and monitor for violations.
• Investigate internal violations and cases of abuse of authority.
• Collaborate with the IT department to monitor suspicious electronic transactions.
• Review contracts and purchases, identifying indicators of conflicts of interest.
• Coordinate with legal, compliance, and internal audit departments regarding investigations and corrective actions.

Required Qualifications

• Educational Qualification: Diploma or Bachelor's degree.
• Specializations: Risk Management, Business Administration, Law, Criminal Justice, Security Sciences, Criminal Investigation, Accounting, Finance, or any related specialization.
• Experience: 5-10 years in a relevant field.

Work Environment

This is a full-time position based in Al Khobar, Eastern Region, within a leading cooperative insurance company. The role offers an opportunity to contribute to maintaining ethical standards and operational integrity in a dynamic financial environment.