About the role
· Prevents reputational losses & financial losses to company by internal/external entities indulging in fraudulent practices. Ensures optimum productivity through trigger-based intimation. · Handling escalations and updating internal customer on claims assigned for investigation. · Assist claims and legal team in identification & eradication of frauds. · Responsible for filing police complaints & leading evidence. · Updates referral triggers to maximize fraud eradication. · Reduces loss ratio by increasing success ratios. · Develops new techniques for investigation (forensic / biometric). · Implementation of strategic projects. What you’ll do: · Visit to Police stations for Police complaints on weekly basis. Visit to Insured / Driver / Claimant location with vendor for verification on weekly basis. · Team Handling of 15 to 20 vendors by conducting structured review on fort-nightly basis. · Carries out fraud analytics to identify fraud prone areas and provides MIS on monthly basis. · Shares best case studies within the team to adopt best practices on monthly basis. · Designs & delivers fraud training programs to investigators for effective investigation on quarterly basis. · Re-engineers process to reduce investigation TAT and investigation cost on quarterly basis. · Provide updates/solutions on escalations within 24 hours. · Provide detailed feedback on open cases for investigation to internal customers on weekly basis.