Manager – Fraud Monitoring

Evoke HR Solution Pvt Ltd; Mumbai; On-site; INR 1,000,000 - 1,500,000; Full time

Job summary

A leading HR solutions company in Mumbai is seeking a Manager for Fraud Monitoring. The role involves managing fraud reporting, conducting in-depth fraud analysis, and collaborating with IT to develop tools for efficient fraud monitoring. Candidates should have 3 to 5 years of experience in fraud monitoring and relevant educational qualifications. This position offers an opportunity to enhance organizational fraud processes.

Qualifications

• 3 to 5 years of relevant experience in fraud monitoring or related areas.
• Professional certifications in fraud management would be desirable.

Responsibilities

• Oversee the preparation and management of fraud-related MIS reports.
• Analyze the causes of fraud incidents and conduct detailed fraud analysis.
• Identify potential fraud cases for PIPV and conduct UAT for fraud monitoring tools.

Skills

Fraud Analysis

Root Cause Analysis

Process Gap Identification

Report Management

Collaboration with IT

Education

Graduate/Post Graduate

Job description

Overview

Position Title: Manager Fraud Monitoring.

Sub-vertical: Fraud Monitoring.

Reporting To: AVP – Risk Management.

Location: Corporate Office – Andheri, Mumbai.

Experience: 7-9 Years

Responsibilities

• Management of Fraud Reporting MIS: Oversee the preparation and management of various Management Information System (MIS) reports related to fraud.
• Root Cause Analysis: Analyze the causes of fraud incidents reported in the ORMS (Operational Risk Management System).
• In-depth Fraud Analysis: Conduct detailed analysis of fraud incidents to identify patterns and trends of increasing fraud cases.
• Identify Fraud Risks/Process Gaps: Investigate repetitive fraud occurrences and identify potential gaps in processes that may lead to increased fraud trends.
• PIPV of Active Policies: Perform PIPV (Policy Inception and Verification Process) of policies involved in fraud incidents.
• VEDC Analysis for A/E: Perform VEDC (Value, Exposure, Duration, and Complexity) analysis for the concerned policies and incidents related to A/E (Assessment/Examination).
• Monthly Fraud Incident Analysis: Analyze fraud incidents reported in the ORMS platform, comparing reported cases with proven cases.
• Develop Fraud Tools: Collaborate with the IT department to develop tools for efficient monthly fraud analysis.
• UAT (User Acceptance Testing): Conduct UAT for newly developed systems or tools related to fraud monitoring.
• Identify Cases for PIPV: Identify potential fraud cases for PIPV based on fraud incident reports.

Critical Competencies

• Education & Experience: Graduate/Post Graduate with 3 to 5 years of relevant experience in fraud monitoring or related areas.
• Certifications: Professional certifications like Licentiate or similar qualifications in fraud management would be desirable.

Key Interactions

• Internal Stakeholders:
• Head of Risk Management and Fraud Monitoring.
• Risk Management team at Head Office, Regions, and CPC (Central Processing Center).
• CFIC (Central Fraud Investigation Cell).
• Regional Leadership.
• Information Technology team.
• Risk Officers.

Measures of Success

• Timeliness: Ensure timely submission of various fraud-related MIS reports.
• Process Gap Identification: Proactively identify gaps in fraud processes and report them in the online Risk Register.
• Follow-up on Requirements: Timely follow-up with Risk Officers and users to ensure requirements are met.
• Fraud Analysis: Conduct thorough and timely analysis of fraud incidents and recommend process improvements.
• Industry Alerts: Analyze and act on industry alert cases in a timely manner.
• PIPV Follow-ups: Ensure the timely follow-up and closure of assigned PIPV tasks.
• Fraud Trend Analysis: Regularly perform and submit fraud trend analysis reports.
• VEDC Analysis: Submit timely presentations and reports on VEDC A/E.