Role & responsibilities

1. Conducting investigations and inquiry into allegations of fraud, mis-selling, waste

or abuse, misconduct and policy violations.
1. Gather, collate, review and research evidence/documents to analyse the overall fact

pattern of complaint related to fraud to identify the root causes and prepare qualified reports with justified recommendations and opinion. Also undertake other assignments within the legal and compliance function as required.
1. Drafting police complaints and representing the company before the police/

government/external authority. Liasoning with Police, Government and external authority in company related matters.
1. Drafting show cause notice, recovery notice against the intermediary, employee,

hospital, customer, etc in case of fraud.
1. Drafting replies to Police Notice, Court Orders, Legal Notices, etc. received at the

company end. Measures of Success for the Role





- Timely closure of Investigation of complaints.
- Giving sound opinion and resolution in complaint investigation.
- Report writing/presentation to the committee/conducting trainings.
- Successful liasioning with external authorities
- Successful drafting and filing of complaint with external authorities
- Successful drafting Show Cause Notice, recovery notice in cases of fraud and misselling.

Required Qualification and Experience

- Graduate & above (Law Graduate preferred)
- Basic knowledge of Microsoft Office Suite
- Excellent in analytical, logics and problem solving skills.
- Should be comfortable to work from office
- Should be comfortable to travel for work if required
- Should have good communication skills

📌 Manager - FCU (Gurugram)
🏢 Care Health Insurance
📍 Gurugram