Chief Manager - RCU - Risk/Fraud - Life Insurance

KEY RESPONSIBILITIES

Responsibilities of job

- Overall responsibility of managing & monitoring the preventive/reactive line of Fraud Risk activities.

- Perform trend and root-cause analysis basis feedback received from the Sources, Industry, Branches, Internal Departments.

- Sampling Analysis basis past trends of investigation of all types of cases-like Pre Issuance/Post Issuance/Death Claims/Customer Complaints & any other suspicious cases

- Ensure all data records & MIS reports are timely maintained with accuracy.

- Prepare various MIS & Dashboards and also share the same in different forums, meetings.

- Preparing/Submitting Statutory and internal returns including Annual Fraud Monitoring Return.

- Interactions with Industry on latest Analytical Models.

- Handling of Audit and ensuring sanctity of data.

- Co-ordinate with team members of various internal departments to devise processes for risk avert.

- Drive Fraud-risk awareness programs in the form of Trainings & roll out of Case Studies as well.

- Analysis of Branch Risk Rating by identifying high Risky branches and carry out compliance & fraud risk awareness sessions to minimize the fraud instances.

INTERACTIONS

Internal Relations: Co-ordination with various departments for various requirements and to devise process

External Relations: Co-ordination with Industry for trends/analysis

REQUIRED QUALIFICATION AND SKILLS

Educational Qualifications: Professional qualification MBA/CA

Work Experience:

The ideal candidate should necessarily have

- At least 2 years in the insurance industry

- Strong MIS and Analytical skills

- Advance Tool Knowledge of MS Excel, MS Word and VBA

- Technical Knowledge of Insurance Background

Certifications: NA

Other skill set:

- Good record of achieving productivity and quality targets.

- Highly detail oriented and customer focused.

- Handle responsibility with minimal supervision with considerable latitude for initiative and independent judgment

- Excellent communication skills of both written and oral.

- Plan, organize, and manage tasks simultaneously in a fast-paced environment

COMPETENCIES

Planning and Organizing

1. Identifies requirements and uses available resources to meet own work objectives in optimal fashion.

2. Completes tasks in accordance with plans.

3. Monitors the attainments of own work objectives and/or quality of the work completed.

4. Sets priorities for tasks in order of importance.

Problem Solving

1. Identifies and Breaks problems into simple lists of tasks or activities, without assigning values.

2. Makes a list of items with no particular order or set of priorities.

3. Takes routine day-to-day decisions without delay.

4. May delegate authority for routine decision-making to free self -up for more important work.

Achievement of Results

1. Sets goals and works to meet established expectations; maintains performance levels.

2. Pursues organizational objectives with energy and persistence. Sets high personal standards for performance.

3. Adapts working methods in order to achieve objectives.

4. Accepts ownership of and responsibility for own work.

5. Takes the initiative to resolve routine problems and understands when issues should be escalated.