· Prevents reputational losses & financial losses to company by internal/external entities indulging in fraudulent
practices. Ensures optimum productivity through trigger-based intimation.
· Handling escalations and updating internal customer on claims assigned for investigation.
· Assist claims and legal team in identification & eradication of frauds.
· Responsible for filing police complaints & leading evidence.
· Updates referral triggers to maximize fraud eradication.
· Reduces loss ratio by increasing success ratios.
· Develops recent techniques for investigation (forensic / biometric).
· Implementation of strategic projects.
What you’ll do:
· Visit to Police stations for Police complaints on weekly basis. Visit to Insured / Driver / Claimant location with
vendor for verification on weekly basis.
· Team Handling of 15 to 20 vendors by conducting structured review on fort-nightly basis.
· Carries out fraud analytics to identify fraud prone areas and provides MIS on monthly basis.
· Shares best case studies within the team to adopt best practices on monthly basis.
· Designs & delivers fraud training programs to investigators for effective investigation on quarterly basis.
· Re-engineers process to reduce investigation TAT and investigation cost on quarterly basis.
· Provide updates/solutions on escalations within 24 hours.
· Provide detailed feedback on open cases for investigation to internal customers on weekly basis.
📌 Deputy Manager (Mumbai)
🏢 HDFC ERGO General Insurance
📍 Mumbai
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