Summary of role

The role involves building robust fraud detection frameworks, managing investigations through empanelled risk agencies, engaging with law enforcement and business teams, and driving awareness across teams.

Key Responsibilities

• Develop and implement fraud risk frameworks across customer and distributors life cycle .
• Monitor transactions, claims and sales practices to identify red flags and fraud patterns
• Lead and manage investigations of suspected fraud cases through empanelled risk agencies, ensuring timely closure with quality reporting.
• Evaluate and monitor performance of risk agencies to ensure adherence to defined SLAs and investigation quality standards.
• Drive vendor staff training programs to improve competency, investigation skills, and compliance with fraud risk protocols.
• Collaborate with internal stakeholders (underwriting, claims, operations, audit, compliance) to strengthen process controls.
• Liaise with law enforcement agencies and industry bodies for complaint filling and resolution.
• Conduct fraud awareness and sensitisation training across distribution channels and operations teams.
• Provide root-cause analysis of fraud incidents and recommend process/policy improvements.