Job Description
The Fraud Management professional is responsible for preventing, detecting, investigating, and mitigating fraudulent activities across the life insurance business. This role ensures protection of company assets, policyholders, and brand reputation by implementing effective fraud controls, analytics, and investigation processes throughout the policy lifecycle.
Fraud Detection & Prevention
- Identify, analyze, and investigate suspected or actual incidents of fraud/ suspected fraud involving internal policy violations or fraudulent activities related to proposals, underwriting, claims, servicing, and distribution.
- Develop and implement fraud prevention strategies, red-flag indicators, and early warning systems.
- Monitor high-risk transactions, claims, complaints agents, medical service providers, and third-party vendors.
- Conduct Fraud risk assessment and Forensic audits
- Create fraud tra...
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