Fraud Specialist

The position of Fraud Analyst within the Fraud Management Center of Excellence (COE) at Allianz involves a multifaceted role aimed at safeguarding the Business Unit (BU) against fraudulent activities across various Lines of Businesses (LoBs). Below is a summary of the key responsibilities and duties associated with this role:

Key Responsibilities:

Strategy Deployment:

• Collaborate with the local Fraud Management Coordinator to implement the 'Zero Tolerance' policy and ensure consistent interpretation and adherence to Fraud Management Functional Rules.
• Assess and enhance the fraud fighting framework maturity within the BU.
• Develop and align fraud prevention and detection strategies with Allianz Partners' organizational targets.

Organization:

• Support the hiring and positioning of candidates in coordination with GCC’s HR to cover all LoBs in the BU.
• Develop expertise within the BU team and supporting GCC based on LoBs.
• Clarify roles and responsibilities within the Fraud Management team locally and regionally.

Processes:

• Ensure timely processing and investigation of suspected fraud alerts from various sources.
• Implement a documented process for fraud referrals and ensure understanding among claim handlers.
• Maintain training rhythm for new joiners and claim handlers on fraud red flags.
• Collaborate with Lead-Data Analytics to identify fraud patterns and take remedial actions.
• Establish Service Level Agreements (SLAs) on key KPIs and ensure adherence.

Technology:

• Support the implementation and management of advanced fraud detection systems like GAFS for Travel.

People:

• Facilitate training and upskilling of employees, especially claim handlers, in fraud management.
• Ensure clear segregation of duties among fraud management teams locally and regionally.
• Maintain regular training rhythm for new joiners and fraud management teams.
• Own or support training on emerging fraud trends and solutions.

Reporting:

• Ensure regular reporting of defined Fraud KPIs and publish dashboards to stakeholders reflecting BU performance.

Reporting Structure:

• The Fraud Analyst reports directly to the Regional Head of Fraud Management and also to a senior functionary locally at the BU for local-connect and disciplinary purposes.

This role requires a proactive approach to fraud management, leveraging communication, technology, and collaboration across various teams and stakeholders to effectively mitigate fraud risks and enhance the BU's fraud fighting capabilities.