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Primary Role Description: - • Responsible to monitor the quality of investigations carried out by the investigation agencies &

verification officers

- To quality check the investigation reports & evidences received from field and submit with recommendation for claim processing
- Co-ordinate with field investigators and help/guide them on claim investigations

Key Roles & Responsibilities: • 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
- Participate in relevant training activity and regularly upgrade knowledge in the area of fraud risk management

Measurement and documentation A medical graduate (BDS/BPT/ BAMS/ BHMS)





- Minimum 1+ years of experience in the health insurance claims/ fraud investigations or related areas

Key Requirements - Experience & Skills • Good working knowledge of MS Office (MS Word, MS Excel, MS PowerPoint).

- Good analytical skills
- Good organizational, planning and delivery skills
- Solid people management /interaction skills
- Fluent in Hindi and English both written and spoken
- Team handling skills/experience
- Multi-tasking and ability to work under pressure in a fast paced environment
- Adhering to Max Bupa principles and values

📌 Amazing Opportunity as a AM/Senior Executive - Fraud & Risk Control Unit with a leading Insurance company (Noida)
🏢 Acura Solution
📍 Noida