06 Aug
|
TATA AIA LIFE INSURANCE
|
Kolkata
06 Aug
TATA AIA LIFE INSURANCE
Kolkata
Job Description
A Position Overview
Position TitleAssistant ManagerDepartmentCompliance Fraud Monitoring UnitBand301
B Organizational Relationships
Reports to DirectAssociate Vice President Fraud Monitoring UnitSupervisesInvestigations, Data Analytics, Central Co-ordination & Reporting
C Job Dimensions
Geographic Area CoveredPAN IndiaStakeholders InternalOperations (All teams), Front Line sales employees, Agents, Audit, Regulatory Compliance, Risk Management Office, Finance and AccountsStakeholders ExternalCustomers, Vendors, Field Investigators, AIA Group
D Key Result Areas
Investigations & Case Management
- Conduct investigations related to sales misconduct, customer complaints, early claims, and other sourcing malpractice including fraud, misselling, document forgery, and nondisclosure, Whistleblower complaints including internal frauds.
- Handle employee and agentrelated investigations across preissuance, postissuance, and claims stages.
- Conduct interviews with employees, agents, and relevant stakeholders, ensuring professional, unbiased, and defensible factfinding.
- Analyze policylevel data, submission patterns, persistency trends, cancellation ratios, and claim linkages to establish employee / agent accountability or collusion
- Support investigations involving suspected nexus fraud between employees, agents, vendors, or external parties.
Data Analysis & Control Assessment
- Conduct indepth data analysis using Excel, dashboards, or analytics tools to identify trends, outliers, and red flags.
- Identify process weaknesses and control gaps leading to misconduct or fraud.
- Work with stakeholders in developing a rootcause analysis and recommend/agree on suitable corrective and preventive measures.
Stakeholder Coordination
- Coordinate with Claims, Underwriting, Sales, HR, Legal, Risk,
and Operations teams for investigation inputs and case closure.
- Follow up on endtoend closure of cases, including disciplinary actions, process fixes, or policy changes.
- Support internal and external audits, regulatory reviews, and management reporting related to fraud and market conduct cases.
Documentation & Reporting
- Prepare transparent, structured investigation reports with evidence, observations, conclusions, and recommendations.
- Maintain accurate case records aligned to internal governance standards and regulatory expectations.
- Track case metrics, aging, and outcomes for periodic MIS and dashboards.
Project Management
- Assist in special projects related to process reviews, regulatory preparedness, control testing, or thematic conduct risk assessments.
- Translate investigation outcomes and analytics into actionable insights, recommending corrective and preventive measures including process changes, control enhancements, and targeted interventions.
Building Ethical Culture
- Partner with Zonal and Regional Sales Leadership to reinforce ethical selling practices, fair customer outcomes, and adherence to company policies and regulatory expectations.
- Drive a culture of ethical conduct and joint accountability, enabling business leaders to own conduct risks alongside Compliance and Market Conduct teams.
E Skills Required
TechnicalExcellent Knowledge of MS- Excel, Word, Power-Point, Drafting Skills Behavioral *Level 1Level 2Level 3Interpersonal skillsOK Communication skillsOK Teamwork SkillsOK Decision making skills Ok
Incumbent Characteristics
EssentialDesiredQualificationGraduation in any fieldMBA, CA, LLBExperiencePrior work experience in Audit, Compliance, Risk Management, Anti-Fraud, Risk Control Units, Claims Investigations, Service Assurance etc.Knowledge of AML, Infosec Guidelines, Certified Fraud Examiner (CFE)
📌 Assistant Manager - Compliance (Kolkata)
🏢 TATA AIA LIFE INSURANCE
📍 Kolkata