
Key Result Areas
Essential - Review invoices/supporting documents submitted by Vendors/employees to determine authenticity/genuineness of such invoices/supporting documents for high value expense claims.
- Should have data analytics capability to identify collusion, abnormal trends/variances in particular section of vendors/employees based including but not limited to geography, hierarchy which is against the code of conduct/ethical practices.
- Implement and manage appropriate forensic tool/system and process to mitigate the Fraud Risk.
- Prepare and maintain Fraud Risk process manual with appropriate Fraud Risk indicators and controls to mitigate the same.
- Direct complex investigations into suspected fraud cases, ensuring thorough documentation and evidence preservation.
- Collaborate with fraud monitoring unit and legal teams to drive resolution and recommend corrective actions.
- Prepare detailed forensic review reports for senior management and other internal stake holders.
- Ensure compliance with regulatory requirements, industry standards, and company policies.
- Maintain confidentiality and integrity in all investigative processes.
Desired:
- Ensure best management practices from banking, healthcare, fintech, and other industries to enhance insurance fraud detection frameworks.
- Benchmark and implement best practices in forensic review and fraud risk management.
- Act as Finance representative in internal forums, investigations, and fraud prevention initiatives of Organization.
E Skills Required:
Technical - Should have forensic capabilities in expense processing management
- Bachelor's degree in Accounting, Finance, Law, Criminology, or related field; advanced degree preferred.
- Professional certifications such as CFE (Certified Fraud Examiner), CISA, CPA, CAMS, or CFA highly desirable.
- 6-10 years of experience in forensic audits, fraud management, or risk management
- Proven cross-industry experience (e.g., NBFCs/ banking, healthcare, fintech, insurance).
- Strong knowledge of life insurance operations, fraud typologies, and regulatory frameworks.
- Expertise in digital forensic tools, data analytics, and audit methodologies.
- Exceptional communication and stakeholder management skills.
Incumbent Characteristics:
Essential Desired:
Qualification Graduate:
- Forensic course or Certified Fraud Examiner (CFE)
- CA / CFA/MBA
- Experience 6 - 10 years of experience in fraud risk, investigations, forensic accounting, or internal audit.
Industry : Banks, NBFCs, Insurance
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