Fraud Control and Analytics

14 hours ago

Bengaluru Karnataka, India Harjai Computers Full time

Role Req Understanding- JD Mentioned Below- They are looking for person who can help them setting up system from Fraud CantrolShould have strong Analytical skills as the person will directly report to Executive Director - Tech and ITWe are not looking at person who is working in a Fraud control-reactive team (Takes charge once fraud has happen)- Experience details Min Max- 10-12 years of data science experience-
- Min 24 to Max 40 (1 lack here and there can be considered)Mandatory skill- Data Science, Data Analytics- Mode of Working- Work from OfficeNo of Position- 1When to Onboard resources- Immediate to 10 days- Interview process- 2 virtual round- System requirement- NAProject Duration- NALocatopn- Bangalore- SPOC Name- Kajol Karanjekar**Head - Fraud Control and Analytics** in **Bangalore.**

Please note that we are looking for someone with **strong data science and analytics** background who may or may not come from an insurance background.

Roles and Responsibilities:

- Responsible for Fraud Risk Abuse control related to claims.
- Fraud prevention, detection. Shall participate and contribute to stay close to the latest developments and processes in fraud risk management.
- Setting Code Ethics framework for effective consequence management.
- Extracting intelligent data (internal and external) to seamlessly connect and aggregate data from multiple disparate data sources and formats
- Using text analytics to build additional indicators from unstructured data such as claim notes and investigation reports
- Using advanced claims analytics to run all suspicious claims through machine learning models
- Conducting investigation on instances of fraud misconduct following guidelines of the organization and ensuring appropriate and timely consequence management.
- Development, review and implementation of Anti
- Fraud Policy ,Fraud management plan, Fraud Risk Assurance Frameworks.
- Creation of SOP on fraud mitigation process and strengthening the same by updating the triggers for fraud identification from time to time.
- Preparing various regulatory and governance related reports such as FMR, conduct risk metrics and fraud packet.
- Ensuring that the Audit Committee is comprehensively updated on current and potential frauds and control weaknesses.

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