Manager/Senior Manager - Special Investigation Unit

Manager/ Sr. Manager - Special Investigation Unit

We have a job opening in a leading Financial Sector, Ahmedabad for Manager/ Sr. Manager - Special Investigation Unit

Key responsibility Area :

Manage Compliance Investigation for Controlling Mortality and reduction in Crude Death Rate :

- New Business Investigations i.e. Customer Existence / Document Verification through Agencies

- Coordinate with Branch Operations Teams to fix the fraud at proposal stage by conducting the random and risk based sample audits of New Business proposals and Agent Recruitment forms at login stage

- Manage Investigations of early and suspicious claims (referred by Claims Team) through Agencies / visiting hospitals for cracking claims nexus

- Conduct Field Verification's on leads shared by Underwriting Risk Management Unit

Control Business Quality, Behavior Issues & Fraud :

- Regularly visit branches in the region and coordinate with Stakeholders (Sales / Ops / HR/ L&D) for quality control of business logged

- Investigate any Fraud / Misappropriation of Fund, Financial embezzlement and recovery from cases in the Region

- Investigations on Behavior/ Harassment issues forwarded by HR

- Investigate Compliance violations and admin related issues

Trend Analysis and Proactive Investigations and Training sessions :

- Identify patterns of Sales Malpractices and work with Linkages to facilitate field

- Conduct Spot Audits in branches to check malpractice like document forgery etc

- Conducting Training / sensitization session in the region

Coordination with Law enforcement agencies :

- Establish contacts with police officers for managing local issues

- Coordinate with Legal Team for filing any Police Complaint / FIR including follow-ups in police station in the region

- Representing Legal Team in all Ombudsman and Mediation cell cases

Records and Agency Management :

- Ensuring record maintenance of all case studies for future review purposes

- Recruit and Manage quality Field Investigation Agencies for New business document verification and Claims Investigation

- Ensure regular Audit on reports of Agency & monthly billing of agency bills

Close Looping basis findings of Investigations :

- Get actions on perpetrators initiated basis Investigation closure

- Identify Process Gaps and get the process corrected

Key skills : Fraud Investigation, Compliance, Claim Investigation, Misappropriation of Fund, Forgery.