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Manager - Risk Investigations

Secunderabad, Telangana
Job Code:
  • Insurance
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Job Details

1. Manage a wing-to-wing fraud mitigation profile from pre-customer-acquisition to post-contract issuance loss reduction for life insurance products.2. Sampling of historical data including claims and other data and current data as per set parameters.3. Conduct pre-issuance application stage investigations, post issuance investigations.4. Conducting investigations on suspected agents/sales persons to ascertain facts.5. Customer segmentation based on historical data and open market information (Expertise from retail banking, NBFC and Life Insurance Domain)6. Set up manual for risk investigations and fraud management.7. Cascade important information to underwriting, claims and field operations with fraud trends etc.8. Advise/Recommend actions as per prescribed Malpractice matrix relevant to their severity.9. Innovate new techniques to avoid fraud.10. Feed and Maintain master MIS pertaining to the above activities.11. Publish periodic trend analysis and feedback to the senior manager management.12. Involve and Audit participation both internal and external.13. Be able to contribute to the Risk strategy and its implementation & monitoring at regular intervals.14. To contribute in the training of relevant staff and any other internal stakeholder if required.Reporting structure This person will report to the Head Claims.Key relationships Sales, Operations, Products, FinancePersonal ProfileQualification and experience Graduate & preferably a licentiate of III, with at least 6-8 years of work experience in a risk profile and Investigations, Fraud, Compliance or Risk. Pursing any other life insurance qualifications, risk certifications would be preferential.Key functional competency Knowledge of Risk and basic life insurance essential.
Degree: M.Com. (Commerce) | M.Pharm. (Pharmacy) | M.Sc. (Science) | MA (Arts) | MBA/ PGDM | MCA/ PGDCA

Additional Degree: BA (Arts) | B.Com. (Commerce) | B.Pharm. (Pharmacy) | B.Plan. (Planning) | B.Sc. (Science) | BBA/ BBM/ BBS | BCA (Computer Application) | Diploma-Other Diploma | B.Ed. (Education) | BHM (Hotel Management)

Experience: 5-10


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