Job Description

Group Company: Designation: Fraud Risk Analyst (700356) Position description: Job Purpose The role would be directly responsible for investigation of suspected fraud cases Key Responsibilities To be directly responsible for end to end investigation at pre-issuance, pre-claim, claim stage and referred by multiple departments like Claims, Compliance, Legal, Sales Support, Finance, HR, Complaints Cell, Policy Servicing, underwriting etc. To be responsible for monitoring and controlling the work done by the Risk verification/investigation agencies regularly To develop and publish regular MIS on various activities like investigation TAT, fraud trends To impart training to Employees, Advisors & Channel Partners on Fraud - Risk Management Specific Authorities (Financial & Non Financial): NA Key Performance Indicators . Overall A/E to be maintained below 100% by timely detection of fraud . TAT of verifications to be within 7 days\' time . Investigations expenses to be within budget without any variance . Identification of fraud claims & ensuring fraud loss savings by procuring evidences . Zero errors in Investigations & actions Job Requirements Qualifications: Graduate/ PG Diploma, Addition certifcation preferred: Certified Fraud Examiner / Certification in Forensic Accounting Basic Skills: Understanding of systems, process and products Functional Competencies Risk Prevention and Detection Risk framework Analytical skills Behavioral Competencies Growth through differentiation Collaboration Execution Excellence Key Interactions Internal Ops/ Underwriting/Claim : Regular feedback/update on adverse cases findings to take necessary action External Industry: Regular interaction with Industry people to identify the declined/cancelled/death claims policies negative matches Reporting Team Position Reporting To: Lead - Fraud Investigation (700359) Reporting Department: FCU (700037) Required work experience Industry: Insurance/ Banks/ NBFC\'s Role: Risk Control

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