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Fraud Control Unit - Leading Health Insurance Firm - Mumbai

2.00 to 7.00 Years   Mumbai City   07 Apr, 2025
Job LocationMumbai City
EducationNot Mentioned
SalaryNot Disclosed
IndustryInsurance
Functional AreaOthers
EmploymentTypeFull-time

Job Description

    Company: Leading Health Insurance Firm.Role: Fraud Control Unit.Location: Mumbai.Experience: 2 years Qualification: Grad / Post Grad.Industry Preference: Health / General Insurance. About the Role:Candidates will be responsible for investigating fraud cases, preparing detailed reports, and ensuring compliance with anti-fraud policies. Duties include filing FIRs and coordinating with vendors and law enforcement. Maintain accurate case documentation and provide regular updates to management.Key Responsibilities:
    1. Support in investigating fraud cases, including gathering evidence in coordination with the espective department SPOC and analysing evidence. Co-ordination with thevendor for field reports by adhering to TAT.
    2. Assist in drafting and filing FIRs in the police station as required.
    3. Prepare investigation report.
    4. Preparing a quarterly update of Management reports. Publish dashboards periodically.
    5. Monitoring of the implementation of mitigation/action plans for the fraud areas / Risk alerts identified.
    6. Awareness to Employees, Agents & Intermediaries on Anti-Fraud policies.
    7. Liaisewith law enforcement agencies and other relevant authorities.
    8. Maintain accurate and organized case files and documentation.
    Please note: The above-mentioned description is just a gist of the profile. A detailed discussion will happen at the time of the Personal round of discussion.For any further queries, kindly feel free to contact hidden_email/ hidden_mobile.

Keyskills :
fraud controlfcufraud investigation

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