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About the job
Summary:
The Fraud Analyst role plays a key part in our operational risk and cost containment strategy. The ideal candidate will have an inquisitive mind and be focused on ensuring we prevent fraudulent activity/ waste and abuse at all stages of the claim journey.
The role requires the ability to multitask across numerous disciplines within the claims department and is ideally suited to a strong self-starter with excellent time management skills and a desire to develop within the organization
Main Tasks:
Identify & investigate fraudulent activities and present fraud reports to the relevant stakeholders
Participate in the role of Auditing in line with Operations Auditing Practices.
Review and assess regions, providers & other areas of risk to identify potential fraud or misrepresentation.
Identify & report cost containment opportunities
Identify Areas of Risk & assist with the design & implementation of controls to mitigate that risk.
Mentor Claims Officers to achieve acceptable cost containment & fraud identification standards
Create & Facilitate Anti-Fraud Awareness & support material as required
Liaise with Global Operations Offices to ensure consistency in the Company Anti-Fraud Management Process
Respond to client enquiries accurately and professionally and when necessary, liaise with additional departments to ensure an efficient response is given thereby achieving client satisfaction.
Other Ad Hoc tasks or projects in order to support the team and other areas of the business
32419 | Data & Analytics | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
Minimum Requirements:
Excellent level of written and verbal English is essential.
Degree is a must
Paramedical Qualification & Certification
Experience in analyzing and assessing medical claims of high values and complexities
At least one 2nd Language
Proficiency in MS Office (in particular in Excel & Power BI)
