Senior Manager - Internal Assurance
Max Life Insurance
- Gurgaon, Haryana
- Permanent
- Full-time
Senior Manager, Fraud Prevention and Control UnitPosition : Senior Manager, Fraud Prevention and Control Unit
Department : Fraud Prevention and Control Unit
Function : Internal Assurance
Reporting to : Assistant Vice President, FPCU
Band : 4A
Location : Gurgaon (HO)Job Summary:
o Act as a catalyst in driving controls through continuous proactive identification of frauds & process/ system gaps across functions including Sales, Operations, Underwriting, Policy Owner Services & Claims.
o Provide assurance to the Management by enabling business teams in driving culture of ethical sales and improved business quality by providing independent assurance through sample testing leading to improvement in control environment.
o Manage Continuous Transaction Assurance Program to test effectiveness of mortality controls through selection and review of high risks manually underwritten business cohorts and manually decided claims.
o Responsible for risk mitigation on identified risk with Management in different governance frameworks.
o Develop execute testing of high risk transactions using advanced data analytical tools and query languages to proactively identify suspicious fraudulent transactions in the areas of customer acquisition, post issuance services, renewal management services, police owner services, morality, market frauds and other process violations.
o Risk and Management Assurance reviews.
Key Responsibilities:
Management Assurance:
o Manage & update Continuous Transaction Assurance Program to test effectiveness of mortality controls through selection and review of high risks manually underwritten business cohorts and manually decided claims.
o Collaboration with Distribution & Operation functions like New Business, Underwriting, Claims, Training, IT, Compliance, Audit, IT on a strategic level to drive Management Assurance in the areas of Distribution, Market Conduct and Mortality Controls.
o Provide assurance to management on reliability of the sales management funnel by through and monitoring of quality & authenticity of sales governance reporting.
Build, operate & synchronize FPCU data.
o Creating FPCU database by merging, cleaning, and unifying various data sources and updating it at defined frequency.
o Build automated queries for generating/ throwing triggers for investigations.
o Design & recommend system level Anti-Fraud measures/ controls through collaboration with UW and Operations.
o Inclusion of new forensic oriented queries to cover fraud vulnerable areas in customer journey.
o Developing various Management Dashboards pertaining to FPCU.
Measures of Success:
o Generation of suspected fraud triggers/ transactions in a timely & regular manner.
o Timely updating the database with zero or minimal error.
o Data to be managed in a simple, readable and query enabled language.
o MIS and dashboards to be published at defined frequency.
o Automation of tasks wherever possible.
Desired experience:
o Bachelors in degree in Engineering or equivalent
o 10-12 years of work experience in similar or equivalent role.
o Certification in data analytics, SQL, Python etc is desirable.
o Hands on experience with proven track record on various BI tools, SQL query building, automation is a must.
o Should have working knowledge in the areas of forensic data analytics.
Knowledge and skills required:
o In-depth understanding & hands on experience of data analytical & data visualization techniques.
o Experience in banking/ NBFC/ e-Commerce & Insurance.
o Skilled in advanced excel & power point.
o Excellent written and oral communication.
ELIGIBILITY : As per internal IJP norms