Job Views:  
185
Applications:  43
Recruiter Actions:  0

Job Code

1404864

Fraud Analyst

4 - 6 Years.Bangalore
Posted 5 months ago
Posted 5 months ago

Responsibilities:

- Oversight of Fraud Risk & Abuse control concerning claims.

- Engaging in fraud prevention and detection, remaining informed about the latest developments and procedures in fraud risk management.

- Establishing a Code & Ethics framework to manage consequences effectively.

- Gathering intelligent data (both internal and external), integrating data from various sources and formats.

- Utilizing text analytics to derive additional insights from unstructured data like claim notes and investigation reports.

- Employing advanced claims analytics to subject all suspicious claims to machine learning models.

- Conducting investigations into instances of fraud & misconduct in accordance with organizational guidelines and ensuring appropriate and timely action.

- Developing, reviewing, and implementing Anti-Fraud Policy, Fraud management plan, and Fraud Risk Assurance Frameworks.

- Drafting SOPs on fraud mitigation processes and enhancing them by updating fraud identification triggers regularly.

- Compiling various regulatory and governance reports including FMR, conduct risk metrics, and fraud packets.

- Ensuring comprehensive updates to the Audit Committee regarding existing and potential frauds, as well as control deficiencies.

Didn’t find the job appropriate? Report this Job

Job Views:  
185
Applications:  43
Recruiter Actions:  0

Job Code

1404864

UPSKILL YOURSELF

My Learning Centre

Explore CoursesArrow
Apply on the go!

Download the iimjobs app to
apply for jobs anywhere, anytime

apple

Download on

App Store

playStore

Get it on

Google Play

appPromoQr

Scan to Download