Role & responsibilities

1. Fraud Monitoring, Surveillance & Analytics • Surveillance Execution: Execute robust offsite monitoring, transaction surveillance, and red flag detection plans to identify anomalies proactively. • Sampling Strategy: Implement scientific, dynamic, and statistically significant sampling strategies to optimize data penetration and investigation accuracy. • Risk Mapping: Develop and deploy fraud risk monitoring strategies, including the creation of fraud risk ratings and process heat maps. • SLA Adherence: Detect, investigate, and prevent fraudulent activities within defined Turnaround Time (TAT) requirements and company policies. 2. Enforcement & Incident Management • Committee Enforcement: Enforce disciplinary and corrective actions recommended by the Code and Ethics Committee, including asset recovery, provider blacklisting, and filing First Information Reports (FIRs). • Investigation Participation: Act as a core participant in high-value or highly significant fraud investigations as required. • Root-Cause Resolution: Close the loop on investigation findings by executing corrective and preventive actions (CAPA) in coordination with the Management Risk Committee, business functions, and executive stakeholders. 3. Cross-Functional Collaboration & Industry Benchmarking • Risk Assessments:



Partner with business units to ensure strict adherence to the fraud risk assessment plan, proactively resolving bottlenecks related to data extraction, analysis, and reporting. • Peer Benchmarking: Liaison with industry peers and competitors to gather updates, share insights, and adopt industry best practices on fraud controls. • Compliance & Conduct: Maintain absolute adherence to the Fraud Risk Management Policy, Standard Operating Procedures (SOPs), Customer Contact policies, and organizational disciplinary guidelines. 4. Knowledge Management Upskilling: Drive continuous improvement across teams by leading refresher training sessions, providing constructive feedback, and coaching colleagues on emerging fraud risks and mitigation techniques.

Preferred candidate profile

Experience: Three years of relevant work experience in insurance/banking/financial industry • Analytical Rigor: Proven ability to analyze complex financial/non-financial data and build analytical dashboards. • Investigation Expertise: Deep knowledge of fraud investigation methodologies, evidence collection, and legal/regulatory frameworks. • Collaboration: Robust stakeholder management skills to influence and align with legal, risk, and business committees • Team Work: Should be a team player

📌 Assistant Manager- Ethical Governance Team (Gurugram)
🏢 Niva Bupa
📍 Gurugram