Manage Risk Investigation for Controlling Mortality and reduction in Crude Death Rate
Identify patterns of Sales Malpractices and work with Linkages to facilitate field
Will be primary responsible for the coordination and handling of investigation agencies that carry out field verifications on behalf of Max Life.
Monitoring and controlling the work done by the Risk verification agencies regularly. Ensure that the quality of the reports submitted by the agency is good. Identify new agencies for conducting verifications.
Create effective MIS/ database of all investigations/cases handled
Develops fraud investigation and fraud reporting standards and procedures, monitors compliance, and contributes to quality improvements and the improvement of fraud risk management practices and policies.
To effectively conduct the regular activities of the UW risk management Unit & minimize fraud losses & carry out effective risk management with Due Diligence. Meet the requirements of Anti-Fraud & Risk management department goals.
Measures of Success
Reduction of fraud incidence
Incidence of fraudulent death claim drop
Desired qualification and experience
Graduate/Post Graduate in any discipline preferably in Insurance, Life Sciences, Commerce or medicine.
4+ years experience in Life/Health Insurance/TPA/ other Operations preferably in claims management and processing
Should be well versed with MS office, particularly MS Excel.
Knowledge and skills required:
High analytical skills
Strong on core values of Max Life
Strong communication (verbal and written), interpersonal, and influencing skills.
Job Description
Position : Deputy Manager – Mortality Control
Function: Under Risk Management Unit
Department : Operations
Band : 5B
Reporting to : Sr/Manager- Mortality Control
Location : Gurugram (90A)
KEY RESPONSIBILITIES:-
Manage Risk Investigation for Controlling Mortality and reduction in Crude Death Rate
Identify patterns of Sales Malpractices and work with Linkages to facilitate field
Will be primary responsible for the coordination and handling of investigation agencies that carry out field verifications on behalf of Max Life.
Monitoring and controlling the work done by the Risk verification agencies regularly. Ensure that the quality of the reports submitted by the agency is good. Identify new agencies for conducting verifications.
Create effective MIS/ database of all investigations/cases handled
Develops fraud investigation and fraud reporting standards and procedures, monitors compliance, and contributes to quality improvements and the improvement of fraud risk management practices and policies.
To effectively conduct the regular activities of the UW risk management Unit & minimize fraud losses & carry out effective risk management with Due Diligence. Meet the requirements of Anti-Fraud & Risk management department goals.
Measures of Success
Reduction of fraud incidence
Incidence of fraudulent death claim drop
Desired qualification and experience
Graduate/Post Graduate in any discipline preferably in Insurance, Life Sciences, Commerce or medicine.
4+ years experience in Life/Health Insurance/TPA/ other Operations preferably in claims management and processing
Should be well versed with MS office, particularly MS Excel.
Knowledge and skills required:
High analytical skills
Strong on core values of Max Life
Strong communication (verbal and written), interpersonal, and influencing skills.
