Job Description

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Claim Investigation Process Management.

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Performance Monitoring of trigger mechanism: Establish the Fraud Risk Identification framework for Crop claim related activities and develop pre and post enrollment triggers
Coordination: Close coordination with Crop Business and Claims team to share/discuss the investigation triggers and finding. Co-observe the CCE activities and Yield assessment followed by projection of claims
Training and coaching Assessment of technical knowhow of the individual team member and design program enable for filed investigation in Crop Investigation cases.
2 Efficiency of Fraud prevention framework :
Identification of Region/Geography specific triggers/trend based on discussion with investigator and local authorities.
Share the trends based on geography and investigation experience with the underwriting/sales teams.
Deterrence: Representation before District Level Monitoring Committee (DLMC) of Social Audit activity. As about 5% of the beneficiaries may be verified by ICs and will send the feedback to concern DLMC and State Government/SLCCCI on Crop Insurance (PMFBY Guideline)
Work on projects that will realize the greatest amount of Business value and take necessary step to ensure sustainability
3 Strategy and Planning:
Analyze complex information and translate into meaningful reports. And appropriate courses of action to unearth the fraud.
Formulate short, medium and long-term training plans linked to the Insurance sector\xe2\x80\x99s business and create training journeys for specific products/investigative aspects
Create processes that enables people to work with autonomy as well as ensure proper control
4 Team Management:
Participate in recruitment process to identify right talent for various positions within own team
Establish individual performance expectations and regularly review individual performance of the team
Support, guide and motivate team members in delivering their responsibilities in business as usual and resolve their concerns/ challenges, if any


Department :

HO


Open Positions :

1


Skills Required : \xef\x82\xa7

BFSI experience in Collection, Recovery and credit control is preferred


Location :

HO


Education/Qualification : \xef\x82\xa7

Minimum Qualification: Graduate (Any stream), MBA finance is preferred


Years Of Exp :

8 to 12 Years


Posted On :

13-Nov-2023


Designation :

Team Leader - COE - ILM - Government business (Mass Health)