New job Circle Head-ILM-Motor OD in Maharashtra
Circle Head-ILM-Motor OD
Company : bajajallianz
Salary : Details not provided
Location : Maharashtra
- Claim Investigation
- Training and guidance to the team Fraud identification as per evidence grid
- Report submission and coordination with claims team. Reviewing the Investigations report which is assigned through external and internal Vendors
- Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations
- Prepare and coordinate field assignments to obtain relevant evidence and information
- Coordinate with Legal team to provide deposition strategies on consumer cases and use law enforcement resources for assistance
- Field Investigation for the High value cases
- Meeting with law enforcement agencies like, Police, Law, other Govt agencies in order to take the case into logical conclusion.
- Evidence assessment, discussion the Corporate legal and FIR filing on fraud identified cases
- Evaluation of Crime scene and appointing forensic experts on Fire and relevant cases to conclude the facts of the case.
- Ability to identify the Triggers, perform desktop investigation and explain plan of action for the field investigatio
- Responsible to complete the case within stipulated turn-around time (TAT)
- Conduct inquiries to ascertain the fact findings and to gather evidence in suspected fraud / triggered claims / Critical & High value claims.
- Interview suspects and witnesses examine evidence and conduct research through databases and other sources.
- Quality Assurance
- OFR and CFR based on various data inputs and indicators
- Vendor Management – Training the external investigators, Control measures, Quality check for the investigation reports.
- Preparing reports based on findings and observations and guide / train the investigators to fulfil the required actions useful from legal point of view.
- Working in close coordination with Legal / Claims team
- Manage and prioritize high case load effectively and efficiently to achieve results of Timeline and Success
- Training, evaluating, supporting the investigators, towards the fulfilment of the required actions
- Ensure the ethics and compliance during managing the external investigators and self-investigation of cases.
- Strategic Design – Execution and Deliverables
- Project scope assessment, identification of resources and implementation
- IntracCritical document compliance
- Periodic analysis of fraud trend
- Meeting with Government officials