Fraud Analyst

Job description

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 in the Sultanate of Oman. 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 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector Key requirements/What you bring You must hold a Bachelors Degree in any medical field, Business Administration, Insurance or a related field, and be legally allowed to work in the Sultante of Oman You must have at least 2 years experience in a customer focused environment , ideally in a clinical, paramedical, or health insurance role, and be knowledgeable in preparing data using excel or similar data tools 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 offer: Allianz 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 How we hire Agency Statement Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier list, under contract. Any unsolicited submission will not be considered