Sr. Specialist - AZAY Insurance Investigation

Being responsible for U&I Investigation, Claim Investigation, Misconduct & Mis-seling case and Money Game including MLM investigation, based on the assignments and responsibilities. This position will ensure that the investigation cases are completed with quality in timely manner and within the budget.

'1) U&I Investigation
- Lead and manage team in handling the investigation forms from U&I
- Work with Insurance Investigation Support Team in managing investigation plan and resources
- Provide advice and coaching to team in collecting customers' information (e.g. occupation, lifestyle, disease), and performing on-field investigation to gain more information
- Build and maintain relationship with the hospitals in order to collect further information
- Record and provide investigation result reports to U&I with the completeness and within turnaround time
- Manage budgeting, and ensure that each investigation case are closed within the budget
- Coordinate with Premium Investigation Team in case of finding frauds during insurance investigation
2) Claim Investigation
- Lead and manage team in handling the investigation form from Claim Department
- Work with Insurance Investigation Support Team in managing investigation plan and resources
- Provide advice and coaching to team in collecting customers' information, and performing on-field investigation to gain more information (e.g. severe disease, disability, suicide, accident) to receive the further information regarding to claim
- Review and provide the investigation result reports to claim with the completeness and within turnaround time
- Manage budgeting, and ensure that each investigation case are closed within the budget
- Coordinate with Premium Investigation in case of fraud found during claim investigation
'3) Money Game and MLM, Investigate misconduct & mis-selling case
- Monitor the cases of money games and MLM, after getting the notification from other departments
- Coordinate with polices to perform on-field investigation of money games and MLM
- Review and submit the reports to management and relevant parties
'4) Propose the case to PI for considering on sending the case to EC (misconduct, mis-selling case…etc.)

Qualifications :

• 3-5 yrs experience in Investigation, Auditing, Claim Management, Underwriting, or other related fields in bank or insurance industr

• Bachelor’s or Master’s Degree in Legal , Business Administration, Nursing, Business of Sciences (Medical Technology), or other related field

Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage.

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, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow.