Fraud Analyst

Job Description

Job Overview

Allianz is hiring a specialized Fraud Analyst to join its team in Cairo, Egypt. Reporting to the Fraud Investigations Lead, the successful candidate will conduct forensic investigations to identify, analyze, and mitigate financial leakage resulting from fraud, waste, and abuse across regional healthcare networks. This position bridges clinical-financial forensics and risk engineering, taking ownership of suspicious medical claim reviews, provider profiling, and control implementation.

About the Company

With over 159,000 employees from 172 nationalities across more than 70 countries, Allianz is one of the world’s most trusted insurance and asset management companies. The organization provides a comprehensive range of products and services in property/casualty insurance, life/health insurance, and asset management, with its largest operational footprint in Europe and global headquarters located in Munich, Germany.

Key Responsibilities

• Identify and investigate fraudulent activities, compiling and presenting formal fraud evaluation reports to key stakeholders.
• Participate in operational audits in compliance with internal audit standards and methodologies.
• Review and evaluate geographic regions, healthcare providers, and high-risk operational areas to detect potential fraud, waste, or misrepresentation.
• Identify and report tangible cost-containment opportunities across claims portfolios.
• Assess fraud risk vulnerabilities and contribute to designing and executing proactive operational controls.
• Provide expert input into operations controls to uphold rigorous cost-containment and fraud detection standards.
• Develop and deliver anti-fraud awareness content and support materials.
• Liaise closely with global operations teams to ensure consistent implementation of the enterprise claims fraud framework.
• Respond to client inquiries professionally and collaborate across departments to resolve issues promptly and maintain client satisfaction.
• Execute additional ad hoc duties and audit projects as required by business operations.

Job Requirements and Qualifications

• Experience: Minimum of 2 years of experience in a customer-focused environment, specifically within clinical/paramedical functions, a Third-Party Administrator (TPA), or health insurance operations.
• Technical Skills: Proven track record analyzing high-value, complex medical claims portfolios for technical and clinical variances.
• Software Proficiency: Advanced skills in Microsoft Office, including advanced Excel for data tracking, Power BI for metric visualization dashboards, and PowerPoint for reporting.
• Core Competencies: Strong time-management abilities with proven capability to handle pressure, manage tight deadlines, and adhere to strict service-level agreements.
• Work Authorization: Valid work permit enabling full-time, year-round employment in Egypt.
• Education (Preferred): Bachelor’s degree in a medical or paramedical field, finance, business administration, insurance, or a related technical discipline.
• Preferred Knowledge: Familiarity with fraud detection principles, medical billing coding systems (ICD-10, CPT, HCPCS), or claims risk frameworks.
• Regional Experience (Preferred): Direct experience liaising with healthcare providers and working with regulatory billing frameworks across the UAE or the broader GCC region.
• Language Skills: Full professional proficiency in written and spoken English; business fluency in Arabic or other regional languages is a distinct advantage.
• Work Arrangement: Hybrid working options are available in accordance with operational policies and business needs.

Job Details

• Company: Allianz
• Location: Cairo, Egypt
• Employment Type: Full Time
• Job Function: Accounting & Audit
• Industry: Insurance