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Deputy Manager - HR at Skillventory
Views:327 Applications:83 Rec. Actions:Recruiter Actions:3
Senior Role - Fraud Risk Control Unit - Insurance (10-18 yrs)
- Ensure that correct operating procedures are followed and adhered to deliver the case outcomes and monitor the quality of investigations carried out by the investigation agencies & verification officers
- Co-ordinate with zonal heads/field investigators and help/guide them on claim investigations
- To actively participate in fraud detection activities such as: Data analysis, measuring fraud indicators, Process automations & IT enhancements, fraud audits etc.
- Fully support in the overall process of communicating any key messages to the business about fraud avoidance
- To comply with departmental SOP with respect to: fraud investigation, reporting and recovery
- Close liaison with the claims team, investigation agencies and other stakeholders in terms of fraud investigations and outcomes
- Liaise and share knowledge of fraudulent or suspected fraudulent providers and customers with counterparts at other health insurance companies and TPAs
- Participate in relevant training activity and regularly upgrade knowledge in the area of fraud risk
- Develop and implement system generated and manual fraud detection measures
- Other responsibilities as assigned related to fraud & risk control unit
This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.
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