Fraud Analyst
2 weeks ago
Key responsibilities/What you doWorking with the Global Claims Function, you will be responsible for the identification, investigation and remediation of Fraud, Waste& Abuse in claims submitted by Health Service Providers and our Health Customers. Your expertise will be instrumental in enhancing our fraud prevention and detection efforts.
Additionally, you will support and mentor fellow Fraud Analysts by sharing your knowledge and insights to optimize our strategies& processes.
You will represent the Global Claims Fraud Framework to our Collegues, Customers, and our Network of Health Service Providers.
You will also ensure that all Fraud, Waste& Abuse activities are captured& reported in accordance with the Regulatory requirements.
Key requirements/What you bringYou must hold a Bachelors Degree in any medical field, Business Administration, Insurance or a related field, or equivilant professional experience and be legally allowed to work in Egypt.
You must have at least 5 years experience in analysing& assessing complex medical claims, and have a proven track record in working with data to help identify insights and support decision making. It is essential that you have experience in Health Claims Fraud Data Analysis& the implementation of fraud prevention measures.
You must have an excellent level of Arabic and English (written, word, listening), and be comfortable with communicating at all levels of an Organisation in a professional manner
Key benefits/What we offerAllianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance. Our products are embedded seamlessly into our partners’ businesses or sold directly to customers, and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care
73369 | Operations | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
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