Fraud Analyst

؜ - ؜Dubai ؜ -

Job details

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)


Job Level:
Professional
Location:
Dubai, AE
Area of Expertise:
Data & Analytics
Unit:
Allianz Partners
Employing Entity:
NEXTCARE Claims Management LLC
Job Type:
Full-Time
Remote Job:
Not applicable
Employment Type:
Permanent
ID:
‎32419

Job Summary

  • Advertiser: Allianz
  • Announcement date: 06/09/2023
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Job location: Dubai
  • Salary: -
  • Phone number: -

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