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    Job · 13813798

    Care Health Insurance logo

    Manager - FCU

    Care Health Insurance · Gurugram · onsite · Posted 58d ago

    Undisclosed0–2 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    Role & responsibilities


    1. Conducting investigations and inquiry into allegations of fraud, mis-selling, waste

    or abuse, misconduct and policy violations.

    2. Gather, collate, review and research evidence/documents to analyse the overall fact

    pattern of complaint related to fraud to identify the root causes and prepare

    professional reports with justified recommendations and opinion. Also undertake

    other assignments within the legal and compliance function as required.

    3. Drafting police complaints and representing the company before the police/

    government/external authority. Liasoning with Police, Government and external

    authority in company related matters.

    4. Drafting show cause notice, recovery notice against the intermediary, employee,

    hospital, customer, etc in case of fraud.

    5. Drafting replies to Police Notice, Court Orders, Legal Notices, etc. received at the

    company end.


    Measures of Success


    • Timely closure of Investigation of complaints.

    • Giving sound opinion and resolution in complaint investigation.

    • Report writing/presentation to the committee/conducting trainings.

    • Successful liasioning with external authorities

    • Successful drafting and filing of complaint with external authorities

    • Successful drafting Show Cause Notice, recovery notice in cases of fraud and misselling.


    Required Qualification and Experience


    • Graduate & above (Law Graduate preferred)

    • Basic knowledge of Microsoft Office Suite

    • Excellent in analytical, logics and problem solving skills.

    • Should be comfortable to work from office

    • Should be comfortable to travel for work if required

    • Should have good communication skills



    Sourced from naukri

    Skills

    Police NoticeFraud InvestigationInvestigationDrafting noticesLegal Noticesfraudcourt orders

    About Care Health Insurance

    Care Health Insurance logo

    Care Health Insurance

    Insurance

    14.7k+

    employees

    2012

    14 years old

    Gurgaon, Haryana

    India

    About

    We offer a variety of health plans enabling cashless treatment at 24,800+ network hospitals and healthcare providers.

    Industries

    Insurance

    Employee ratings

    2,639 reviews

    3.5/ 5

    Culture

    3.3

    Career growth

    3.1

    Work-life

    3.5

    Employees rate it well for

    Salary211Senior Management196Work Environment178Work Culture157Work Life Balance120

    Find them on

    WebsiteLinkedInAmbitionBox reviews

    Manager - FCU · waiting for your command