Executive/Manager - Field Investigation Unit

1 week ago


Ahmedabad Surat, India Tata AIA Life Insurance Full time ₹ 5,00,000 - ₹ 15,00,000 per year

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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