Manager-I - Operational Risk Mgmt North

Summary of role

• The roleinvolves building robust fraud detection frameworks, managing investigationsthrough empanelled risk agencies, engaging with law enforcement and businessteams, and driving awareness across teams
• Key ResponsibilitiesDevelop and implement fraud risk frameworks across customer and distributors life cycle
• Monitor transactions, claims and sales practices to identify red flags and fraud patternsLead 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

Purpose

• To identifypreventive ways to avoid any risk occurrence Todecrease fraud and operational risk in the state by efficiently identify theemerging risk and putting appropriate measures Tocoordinate and perform investigation on various cases allotted reportwithin timelines Proactivelydetect problems or gaps in different processes, ensure mitigation, and loopclosure Toeffectively manage risk agencies and to ensure that their competency skills areupgraded as against evolving fraud trends Learningand ground sensing to be shared with the stakeholders for root cause analysisAccountability Effectiveuse of risk agency network and ensuring closure of cases within stipulatedtimelines without compromising on quality Ensureissues are picked up in a proactive manner necessary corrections are made Createnetwork across the industry to identify nexus / racket Proactivelyengage with law enforcement agencies for imparting knowledge and filingcomplaint
• Imparting risk awareness/sensitization trainings across various branch locations / departments