Job Summary

The purpose of the role is to carry out overall activity of Prevention, Detection and Monitoring of sales and business practices and strengthen the processes controls concerning Market Conduct. The role is also required to create awareness on Market Conduct good practices, ethics compliance, as well as on the company code of conduct/policies. Drive the culture of Zero Tolerance to fraud and misconduct in the Zone.

Dimensions

- Case investigation received from various stakeholder

- ~200 cases

- Proactive Analysis investigation

- Phone_number0

- AntiFraud Awareness Program

- All employees of North Zone (All channel)

- Branch Visits

- 1215 High Risk Branches

- Meeting with Sales

- Regular meeting with ZSM/RSM

- Mystery Shopping (DC Hospital)

- 80100

- Fraud Awareness Week

- He will drive various engagement activities for creating awareness in the zone.

Job Context and Major Challenges

About the Health Insurance Industry

While the current market sees more than 15 nonlife players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10, 000 Crs sees close to 85 % of the business renewing with the existing service provider itself.



This narrows down the prospect of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs.

With the SME and the startups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them.

Market Opportunities

With the advent of medical advancements, lifestyle changes, change in Indian socioeconomic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele.

Increasingly

Indian customers have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable revenue source for the company.

Disclaimer: This has been sourced from a public domain and may have been modified by Naukri.com to improve clarity for our users. We encourage job seekers to verify all details directly with the employer via their official channels before applying.

📌 Team Member - Market Conduct (New Delhi)
🏢 Aditya Birla Insulators
📍 New Delhi