Manager - Risk and Loss Mitigation
LucknowFull-timeMid levelPosted over a month ago
Mid-level risk role at HDFC ERGO General Insurance in Lucknow. Needs a BDS.
About the role
Physical field Investigation of claim assigned through system. Ascertain evidence quality as per matrix Validate each & every evidence with the case triggers Identification of Hospitals / individuals involved in malpractices to create database Escalation & Grievance Management for the investigated cases
What you'll do
- Report submission in CIMA (In house system that is being used for Investigation)
- Maintain healthy and cordial relationship with hospitals and TPA desk
- Ensure the ethics and compliance while investigating a claim
- Analyze data on utilization, outcomes to determine trends and identify problem areas
- Filing of police complaints and liaising with the police authorities for taking necessary action against fraudulent individuals / hospital and others
What you need
- Excel
- MIS reporting
- Reconciliation
- Compliance