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Job Description: Primary Role Description: - Responsible to monitor the quality of investigations carried out by the investigation agencies & verification officers To quality check the investigation reports & evidences received from field and submit with recommendation for claim processingCo-ordinate with field investigators and help/guide them on claim investigations Key Roles & Responsibilities: To comply with departmental SOP with respect to: fraud investigation, reporting and recovery Close liaison with the claims team, investigation agencies and other stakeholders in terms of fraud investigations and outcomesParticipate in relevant training activity and regularly upgrade knowledge in the area of fraud risk management Measurement and documentation A medical graduate (BDS/BPT/ BAMS/ BHMS) Minimum 1+ years of experience in the health insurance claims/ fraud investigations or related areas Key Requirements - Experience & Skills Good working knowledge of MS Office (MS Word, MS Excel, MS PowerPoint). Good analytical skillsGood organizational, planning and delivery skillsStrong people management /interaction skillsFluent in Hindi and English both written and spokenTeam handling skills/experienceMulti-tasking and ability to work under pressure in a fast paced environmentAdhering to Max Bupa principles and values .