Executive/Manager - Field Investigation Unit
1 week ago
Role & responsibilities
Role Summary:
- Identify Fraud Risk triggers
- Pre-Issuance and Post Issuance Investigation
- Field Investigation
- DC Audit/Mystery Shopping
- Vendor Management
Stakeholders Internal
Claims, Finance, POS, underwriting team, Branch ops, RCU, IT, Customer Service, Legal & Compliance
Stakeholders External
External legal consultant, legal counsel, investigators, Claimants, Customers and Claim consultants
A. Key Result Areas
Conduct the following investigations
- Life Claim Investigation [Individual + Group]
- Health Claim Investigation
- HNI Investigations all lines
- Risk Investigations [ Pre-Issuance & Post Issuance]
- Document Procurement
- POS [Annuity payout related] Investigation.
- Whistle-blower investigations
- Diagnostic Centre Mystery shopping
Preferred candidate profile
A. Skills Required
Qualification :Graduate
Experience :2 - 3 years
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