Naukriguru.com

Prestigious client of the naukriguru looking for "Associate VP – Fraud and Abuse Management"

Naukriguru

About Company

Prestigious client of the naukriguru.com Naukriguru.com was incepted in 2001 with a vision to become a guide and mentor to those seeking to carve their careers in their respective fields and counted among the highest ranked e-job portals when it comes to executive search and selection.

Contact Details

Concern Person: ruchi
Company Name: Naukriguru
Email Id: hr@naukriguru.in
Website URL: www.naukriguru.com

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Prestigious client of the naukriguru looking for "Associate VP – Fraud and Abuse Management"

Naukriguru - Gurgaon, Delhi

Experience: 10 to 12 Yrs. | Salary: 0 to 0 Lakhs (P.A) | Posted on: 19-Apr-2017

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Job Description

Primarily responsible for management of risk that Apollo Munich is exposed to, through fraud & abuse by individuals & institutions.


Review reports of suspected fraud to determine need for further investigation. 

Train others in fraud detection and prevention techniques. Maintain knowledge of current events and trends in such areas as mechanisms of fraud and techniques of system abuse. Evaluate business operations to identify risk areas for fraud. Recommend actions in fraud cases. 

Research or evaluate new technologies for use in fraud detection systems. 

Negotiate with responsible parties to arrange for recovery of losses due to fraud. 

Ensuring requisite manpower To transfer knowledge and help team members develop to be future ready, thereby creating pool of talented individuals within the team 

Responsibilities include helping team achieve specified objectives 

To carry out continuous improvement initiatives in the processes Drive all initiatives planned and keep management updated on regular basis Analytics:

Building fraud detection models in partnership with actuarial team Investigations: 

Empanel Investigators, assign cases, ensure SLAs are maintained and quality adherence 

Engage with Industry councils (GI), providers, physicians, distributors, et al Enhancement & Development of IT systems Innovate: 

Use of behavioral models, social media, etc. for fraud detection

Desired Candidate Profile

Please refer to the job description above

Key Skills

Key Skills
. Investigation, Fraud Detection, Risk Management, Fraud & Abuse etc
Qualification
. Any Post Graduate
Additional Qualification
. Investigation, Fraud Detection, Risk Management, Fraud & Abuse etc
Industry
. Banking/Financial/Insurance Services
Functional Area
. Others
Job Role
. Other

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