Fraud Analyst
5 months ago
**Summary**:
**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
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