Fraud Analyst

Key responsibilities/What you do
Working 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

Represent the Global Claims Fraud Framework, showcasing AI capabilities to colleagues, customers, and the network of Health Service Providers. Advocate for the integration of AI technologies in fraud prevention strategies.

    Key requirements/What you bring
You 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 manne

Proficiency in AI technologies, machine learning algorithms, and data analysis tools. Experience with AI platforms and software used in fraud detection is highly desirable.

73369 | Operations | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent

Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance

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.

Great to have you on board. Let's care for tomorrow