The Fraud Analyst role plays a key part in our global claims cost containment, quality & customer experience strategy. The ideal candidate will have an inquisitive mind and be focused on ensuring we prevent fraudulent activity/ waste and abuse at all stages of the claim journey.

The role requires the ability to multitask across numerous disciplines within the global claims department, and is ideally suited to a strong self-starter with excellent time management skills and a desire to develop within the organization

What you will do:

Responsibilities will include, but are not limited to, the following:

• Handling of telephone and written complaints according to the professional decisions of the specialized department and, if necessary, in critical
• Escalations (including social media) in coordination with relevant units.
• Conducting fraud investigations and processing according to specified standards.
• Quality assurance of claims processing through leakage checks (Open File Review & Close File Review).
• Development and implementation of measures for complaint prevention.
• Ensuring compliance with company standards in complaint handling, including reporting and analysis.
• Identification and processing of recourse cases.Support and implementation of BaFin and company policies.
• Systematic documentation and analysis of complaints for root cause identification and measure development.
• Participation in projects and forums to improve complaint management.
• Conducting and analyzing fraud investigations, supported by IT-based data analysis.
• Preparation and delivery of training sessions and creation of reports in the area of leakage and fraud management.
• Implementation and enforcement of policies for the prevention of leakage, recourse, fraud, and complaints.
• Collaboration with specialized departments and headquarters for the strategic development of measures.