· Fraud Prevention, Detection & Investigation
of Internal / External & Whistle Blower Cases

· Conduct in -depth independent investigations into
suspected fraudulent activities across different LOB’s and distribution
channels.

· Hands -on experience with field investigation
tools and techniques with regard to insurance frauds.

· Collect, verify and analyze evidence &
prepare investigation reports with actionable insights and recommendations

· Transform complex data into actionable insights and
leverage data analytics tools to identify high risk areas

· Ensure compliance with IRDAI’s Fraud Monitoring
Framework (2025) and other regulatory directives along with reporting.

· Understanding of organizational systems,
processes and products.

· To execute and deploy qualitative field
investigations

· To impart training to employees and vendors on
field risk management activities.

· Experience in dealing with LEA, vendor
management and stakeholder management.

· To maintain and publish regular MIS on various
activities like investigation TAT, risk trends etc.