Senior Manager - Mortality Control - Life insurance

KEY RESPONSIBILITIES:-

1. Manage Risk 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 post issuance stage

- Control Business Quality, Behavior Issues & Fraud through regularly visiting branches in the region and coordinate with Stakeholders (Sales / Ops / HR/ L&D) for quality control of business logged in North zone.

- Trend Analysis and Proactive Investigations and Training sessions;

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

2. Is primary responsible for the coordination and handling of joint investigations that require specialist external forensics, and law enforcement intervention

3. Develops effective working relationships with senior business management to continuously monitor fraud related issues, ensures an understanding of control weaknesses, recommends control improvements, and creates an awareness.

4. 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 the improvement of fraud risk management practices and policies.

5. 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.

6. 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.

Key Accountabilities

- Fraud Detection & Prevention

- Risk Sampling

- Due Diligence

- Liaising with different internal stakeholders

- Vendor Management

- Preparing MIS, Dash Boards

Measures of Success

- CDR for the region to be maintained < 1.5

- Reduction of fraud incidence in region

- Incidence of fraudulent death claim drop by 20%

- Reduction in pre-issuance check to prevent fraudulent applications by 15-20%

Desired qualification and experience

- Person with demonstrated skills in fraud detection /employee investigation / Compliance Monitoring/ Specialist in Document / Signature forensics/ Handwriting experts shall be preferred.

- Bachelors/PG degree in any discipline

- 5+ years of relevant experience in Fraud Investigation with BFSI companies preferably Life insurance