Uttar Pradesh Insurance investigation Jobs – 43 Open Jobs Today

Manager - Fraud Risk
EXL Service —Noida, Uttar Pradesh
- Full-time
- Finance
- Master's degree
- Analysis skills
Sr. Associate - FCRM 5B
Genpact India Pvt. Ltd. —Noida, Uttar Pradesh
- Full-time
- Hybrid work
- English
- Finance
- Master's degree
Quick apply
QA Engineer
Ginger Webs Pvt. Ltd —Noida, Uttar Pradesh
- ₹4,00,000 - ₹7,00,000 a year
- Full-time
- SQL
- Analysis skills
- APIs
- Health insurance
Quick apply
HR Generalist
Acro Technologies India Private Limited —Unknown, Uttar Pradesh
- ₹7 - ₹10 a year
- Full-time
- Microsoft Office
- Bachelor's degree
- Human resources
Quick apply
Customer Care Manager
Anand Motor Agencies Ltd —Lucknow, Uttar Pradesh
- Full-time
- Customer service
- Master's degree
- Analysis skills
Quick apply
4d
Contractor
EY —Noida, Uttar Pradesh
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Research Integrity Associate / Associate Manager – Research Integrity
Georg Thieme Verlag KG —Noida, Uttar Pradesh
- English
- Research
- Microsoft Office
2d
TPA Executive
Gratis Health Care —Greater Noida, Uttar Pradesh
- From ₹20,000 a month
- Full-time
- Microsoft Office
- Bachelor's degree
- Computer skills
Quick apply
Safety Officer in Industrial Project
Sachin Electricals Pvt. Ltd. —Vasundhra, Ghaziabad, Uttar Pradesh
- ₹20,000 - ₹30,000 a month
- Full-time
- Bachelor's degree
- In-person
- Training & development
- Health insurance
- Life insurance
Quick apply
13d
Patient Care Coordinator
Asian Vivekanand Super Speciality Hospital —Moradabad, Uttar Pradesh
- ₹14,000 - ₹25,000 a month
- Weekend availability
- Customer service
- Microsoft Office
- Bachelor's degree
Quick apply
13d
Senior Billing Executive
Spes Super Speciality Hospital —Greater Noida, Uttar Pradesh
- ₹15,100 - ₹45,000 a month
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
- Paid time off
- Flexible schedule
Quick apply
12d
Transaction Officer
responsAbility Investments AG —Newara, Uttar Pradesh
- Full-time
- Microsoft Excel
- English
- Microsoft Office
Unit Manager - Operations
MetLife —Noida, Uttar Pradesh
- Full-time
- Nursing
- Medicine
- Doctoral degree
Customer Care Executive
Bakson Drugs & Pharmaceuticals Pvt Ltd —Noida, Uttar Pradesh
- ₹25,000 - ₹35,000 a month
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Customer service
- Commuter assistance
- Health insurance
Quick apply
23h
IP /OP Billing Executive
Motherhood Hospital, Gaur city 2 —Greater Noida, Uttar Pradesh
- ₹20,000 - ₹33,000 a month
- Full-time
- Accounting
- In-person
Quick apply
Human Resources Manager
Mritunjay Constructions & Developers Private Limited —Lucknow, Uttar Pradesh
- ₹15,000 - ₹45,000 a month
- Full-time
- Master's degree
- Presentation skills
- Bachelor's degree
- Health insurance
- Life insurance
Quick apply
7d
Back Office Executive
GARUDA ASSOCIATES —Lucknow, Uttar Pradesh
- ₹10,000 - ₹20,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Office
- Cell phone reimbursement
- Paid sick time
Quick apply
Patient Counsellor- Prayagraj
Zen Cancer Hospital (ZenOnco.io) —Allahabad, Uttar Pradesh
- ₹12,000 - ₹18,000 a month
- Full-time
- English
- Bachelor's degree
- In-person
Quick apply
Consultant-Consulting-Sanctions
EXL Service —Noida, Uttar Pradesh
- Full-time
- Microsoft Office
- Project management
Medical Benefits and Authorization Specialist (MBAS)
ProHealth Business Solutions Pvt Ltd —Noida, Uttar Pradesh
- ₹28,500 - ₹35,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- English
- Health insurance
Quick apply

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Manager - Fraud Risk

EXL Service -
Noida, Uttar Pradesh

Apply Now

Job details

Full-time

Qualifications

COSO
Procurement
Finance
Master's degree
Analysis skills
Project management
Bachelor's degree
Risk management
Fraud prevention and detection
Accounting
Communication skills

Full job description

Job Description: Manag Compliance Risk Management

Accountable for monitoring and developing compliance risk management strategies for EXL operations.
Take the lead in the development of compliance assessment and monitoring processes and controls to mitigate compliance risk. Responsibilities will include evaluation of new tools and processes to enhance prevention, detection and reporting on compliance risks.
Conduct Compliance reviews and testing to identify areas of potential process improvement, gaps or trends and in coordination with other stakeholders, implement enhancements.
Conduct compliance trainings and awareness drives on pertinent compliance topics.
Proactively recommend and implement updates to existing compliance policies and procedures and draft new policies and procedures as necessary, in consultation with leaders.
This role requires the ability to dive deep, react quickly, navigate complex business processes and evaluate risks related to processes, regulatory compliance, organizational structure, policy, and technology.

Fraud Risk Management

Accountable for monitoring and developing fraud risk strategies for EXL operations in accordance with COSO framework.
Take the lead in the development of fraud processes, strategies and controls to mitigate fraud risk. Responsibilities will include evaluation of new tools and processes to enhance prevention, detection and reporting on fraud risks.
Perform regular assessments to identify areas of potential process improvement, gaps or trends and in coordination with other stakeholders, implement enhancements.
Evaluate/test EXL’s anti-fraud controls and make appropriate suggestions for enhancements to controls
Conduct targeted anti-fraud training as needed

Investigation and Vigilance

Handling investigations into a range of issues involving bribery and corruption, conflict of interest, collusion, employee fraud, operational and financial frauds, embezzlement, third party frauds, procurement fraud, HR related issues, data theft and misappropriation.
Examining suspicious activities: Reviewing allegations of fraud to determine if deception has occurred
Gathering evidence: Collecting evidence and records, and interviewing witnesses
Preparing reports: Writing detailed reports and presenting them to management
Creating preventive systems: Developing systems to limit fraud and identify threats to the company
Updating fraud analysis models: Keeping models up to date with industry trends and security standards
Assisting with investigations: Helping fraud analysts and their teams with investigations
Must be capable of functioning as a sole contributor as well as collaborating with cross-functional teams to deliver investigations to support multiple stakeholders.

Required Skills/Experience :-

Bachelor's degree in accounting, finance, business or related field. Master's degree preferred.

Industry-related certification such as Certified Fraud Examiner (CFE) is a must.

Understanding of insurance, healthcare, procurement, consumer, financial institution, computer & internet & intellectual property related frauds.

Strong knowledge of the 3 lines of defense model with special emphasis on the 2 nd Line.

Strong knowledge of laws relating to bribery and corruption, data privacy and protection, money laundering, US Treasury AML guidelines, OFAC requirements.

7+ years of relevant Anti-Fraud program experience with complex fraud investigations, auditing, risk management, compliance, finance, law or a related field

Experience working with fraud detection scenarios, principles, and best practices.

Strong analytical skills and ability to synthesize and summarize data

Problem-solving skills and excellent written and verbal communication skills.

Proficient in using investigative tools and software.

Strong organizational, planning and project management skills ing fraud risk Framework at EXL in accordance with COSO principles

Responsibilities: AM Sr. Manager
Assess control environment
Conduct Fraud Risk Assessments
Create Fraud Risk Registers identifying inherent fraud risks and apply mitigating controls to determine residual fraud risks and potential control gaps.
Recommend activities/controls to strengthen EXL's antifraud posture.

Qualifications: CFEs, Bachelor Degrees, MBAs 5 - 10 years

Apply Now

Refine Your Search

insurance investigation jobs in uttar pradesh

Manager - Fraud Risk

Sr. Associate - FCRM 5B

QA Engineer

HR Generalist

Customer Care Manager

Contractor

Research Integrity Associate / Associate Manager – Research Integrity

TPA Executive

Safety Officer in Industrial Project

Patient Care Coordinator

Senior Billing Executive

Transaction Officer

Unit Manager - Operations

Customer Care Executive

IP /OP Billing Executive

Human Resources Manager

Back Office Executive

Patient Counsellor- Prayagraj

Consultant-Consulting-Sanctions

Medical Benefits and Authorization Specialist (MBAS)

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