Senior Manager - Risk & Fraud/Claims - Service Centre

Responsibilities:

- Responsible for the day to day management of the Claims Process and Operations Team Pan India.

- Supervision of the multiple processes and the continuous improvement of the performance of these processes to maintain the optimum service levels.

- Monitor the turnaround time for the claims.

- Interacting with various customers and third party service providers to ensure timely service delivery.

- Scrutiny and analysis of the information to make sure claims are handled tactfully.

- Resolving critical approval and decisions with the Service Centres.

- Handling escalations and maintaining regular follow Up till the escalation is closed.

- Be directly responsible for early detection of suspicious cases at new business login

- Provide guidance and development of tools in discussion with analytics team for early detection of frauds

- Ensure timely and adequately structured risk reports being published to the stakeholders

- Review the accuracy of the risk reporting and risk updates (Risk reports, MIS, dashboards) at various frequencies.

Functional Skills Required:

- Knowledge of claims management, risk identification, fraud analytics

- Ability to create processes and benchmarks around risk and claims management

- Good working knowledge of risk identification and the ability to price risk into the product

- Knowledge of insurance fraud risks and data analytics

- Should have experience in the Service Centre domain.

- Having technical knowledge of electronics will be an added advantage.

Soft Skills Required:

- Ability to lead a team and measure them against set benchmarks

- Very well versed with Ms-Excel, Word, and PPT

- Good Communication Skills

- Capability to manage multiple stakeholders at all levels

- Self-starter