Job description Manage Risk Investigation for Controlling Mortality and reduction in Crude Death Rate Identify patterns of Sales Malpractices and work with Linkages to facilitate field Will be primary responsible for the coordination and handling of investigation agencies that carry out field verifications on behalf of Max Life. Monitoring and controlling the work done by the Risk verification agencies regularly. Ensure that the quality of the reports submitted by the agency is good. Identify new agencies for conducting verifications. Create effective MIS/ database of all investigations/cases handled Develops fraud investigation and fraud reporting standards and procedures, monitors compliance, and contributes to quality improvements and the improvement of fraud risk management practices and policies. To effectively conduct the regular activities of the UW risk management Unit & minimize fraud losses & carry out effective risk management with Due Diligence. Meet the requirements of Anti-Fraud & Risk management department goals. Measures of Success Reduction of fraud incidence Incidence of fraudulent death claim drop Desired qualification and experience Graduate/Post Graduate in any discipline preferably in Insurance, Life Sciences, Commerce or medicine. 4+ years experience in Life/Health Insurance/TPA/ other Operations preferably in claims management and processing Should be we'll versed with MS office, particularly MS Excel. Knowledge and skills required High analytical skills Strong on core values of Max Life Strong communication (verbal and written), interpersonal, and influencing skills. Role: Operations - Other Industry Type: Insurance Department: Customer Success, Service & Operations Employment Type: Full Time, Permanent Role Category: Operations Education UG: Any Graduate PG: Any Postgraduate Key Skills Analytical skillsHealth insuranceDue diligenceClaimsTPAMISLife sciencesRisk managementMS OfficeMonitoring
Job Summary
Company
Max Life Insurance
Location
Gurugram
Experience
4-9 Yrs
Verification
Government Verified Recruiter
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