Title Senior Fraud Analyst

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,