Senior Fraud Analyst ManipalCigna Health Insurance Company Ltd.

0.0 - 3.0 years

0 Lacs

maharashtra

On-site

As a Fraud Investigator at ManipalCigna Health Insurance Company Limited, you will play a vital role in ensuring compliance with anti-fraud policies and investigating fraud cases. Your responsibilities will include gathering evidence, analyzing data, filing FIRs, coordinating with vendors and law enforcement agencies, and maintaining accurate case documentation. You will be required to support in investigating fraud cases by collaborating with department SPOCs, managing reports from whistleblowers and ethics emails, and ensuring timely coordination with vendors for field reports. Additionally, you will assist in drafting and filing FIRs as necessary, preparing investigation reports, and updating management regularly with accurate information. Your role will also involve monitoring the implementation of mitigation plans for fraud areas, raising awareness among employees, agents, and intermediaries about anti-fraud policies, and liaising with law enforcement agencies and other relevant authorities. It is essential to maintain organized case files and documentation to ensure the integrity and maturity of the investigation process. To qualify for this position, you should hold a graduate or post-graduate degree with at least 0-1 years of work experience. You must demonstrate the ability to work effectively in a team, exhibit a high level of integrity, and uphold ethical standards across the organization. Your commitment to maintaining confidentiality and adhering to professional standards will be crucial in successfully carrying out your responsibilities as a Fraud Investigator at ManipalCigna Health Insurance Company Limited.,

Posted 1 week ago

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Title Senior Fraud Analyst ManipalCigna Health Insurance Company Ltd.

0.0 - 3.0 years

0 Lacs

maharashtra

On-site

At ManipalCigna, we value your dedication to your family's health and well-being by offering a variety of comprehensive Health Insurance plans. As ManipalCigna Health Insurance Company Limited, a joint venture between the Manipal Group and Cigna Corporation, we strive to provide top-notch insurance solutions to individuals, groups, and organizations. With a strong emphasis on health and wellness, we cater to a wide range of health needs with our diverse range of insurance products. As a Fraud Investigation Specialist at ManipalCigna, your primary responsibility will be to investigate fraud cases, compile detailed reports, and ensure adherence to anti-fraud policies. This role will involve collaborating with various stakeholders, including law enforcement agencies and vendors, to gather evidence and maintain accurate case documentation. You will be instrumental in filing FIRs, preparing investigation reports, and providing regular updates to the management team. Key Responsibilities: - Conduct thorough investigations of fraud cases, including gathering and analyzing evidence in coordination with relevant department SPOCs - Manage and respond to fraud cases reported through whistleblowers and ethics emails - Coordinate with vendors to obtain field reports within specified timelines - Assist in drafting and filing FIRs as necessary - Prepare comprehensive investigation reports and quarterly updates for management - Monitor the implementation of mitigation plans for identified fraud areas and risk alerts - Raise awareness among employees, agents, and intermediaries regarding anti-fraud policies - Collaborate with law enforcement agencies and other authorities as needed - Maintain accurate and organized case files and documentation Qualifications and Experience: - A graduate or post-graduate with a minimum of 0-1 years of work experience - Strong team player with the ability to collaborate effectively - Demonstrated integrity, maturity, and ethical standards in all aspects of work,

Posted 2 weeks ago

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