Fraud Analyst

Job description

JOB OVERVIEW

 

The Fraud Analyst role plays a key part in our global claims 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 global claims department and is ideally suited to a strong self-starter with excellent time management skills and a desire to develop within the organization

 

RESPONSIBILITIES

Responsibilities will include, but are not limited to, the following:

 

•                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 fraud risk & assist with the design & implementation of controls to mitigate that risk.

•                Provide input into Operations Controls to achieve acceptable cost containment & fraud identification standards

•                Create & Facilitate Anti-Fraud Awareness & support material as required

•                Liaise with Global Operations Functions to ensure consistency in the application of the Global Claims Fraud Framework

•                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

 

REQUIREMENTS

To be successful in this position you will need to have the following skills/ experience:

 

•                At least 2 years’ experience in an International Health Insurance environment

•                Experience in analysing and assessing medical claims of high values and complexities

•                Ability to communicate effectively with various audiences and all levels of the organisation

•                Proficiency in MS Office (in particular in Excel, Power BI, PowerPoint)

•                Excellent level of written and verbal English is essential.

•                Experience in problem solving & decision making

•                2nd Language preferable

57700 | Customer Services & Claims | Professional | n.a. | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams, and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, grow, and shape a better future for our customers and the world around us.

 

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer.

 

We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in.

 

We, therefore, welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability, or sexual orientation.

 

Join us. Let's care for tomorrow.