Key Roles & Responsibilities

- Lead and manage a team of Bima Saathis (BS) across multiple states.
- Conduct weekly training sessions and performance reviews to enhance team capability and productivity.
- Review investigation reports to ensure quality, accuracy, andtimelyclosure.
- Drive achievement of key KRAs, including Grade 1%, Grade 1 Value, TAT, and Productivity.
- Identifyfraud trends, suspicious activities, and nexus between providers, policyholders, and other stakeholders.
- Implementdeterrence measures in fraud-prone geographies and networks.
- Coordinate and file police complaints/FIRs in fraud cases and liaise with law enforcement agencies.
- Collaborate with internal stakeholders to strengthen fraud risk mitigation and improve investigation outcomes.
- Monitor MIS, performance metrics, and provide regular updates to management on team performance and fraud control initiatives.

Compliance & Adherence
- Adherence to 100% compliance

Key Requirements – Education & Certification
- Medical Graduates such as BAMS/BHMS/BPT or BDS

Key Requirements – Experience & Skills
- Work experience of 7-8 years in Health insurance industry Or Non-Medico with Insurance experience of Min 10 years.
- Excel and computer knowledge

📌 Assistant Vice President - Risk and Loss Mitigation (Faridabad)
🏢 HDFC ERGO General Insurance
📍 Faridabad