KRA1
Identify, analyse and report Compliance-related risks in processes related to the assigned verticals in Operations
1. Assist in evaluating and analyzing all the procedures,
policies and process of New Business, Underwriting and
Claims Function. 2. Identify, evaluate and report the
compliance risks within the operation function verticals
assigned 3. Assisting in identifying deficiencies in
policies, process and procedures related to assigned
operational entities and recommend corrective actions to
the Management. 4. Monitor the work carried out by the
assigned operational entities. 5. Assist in providing
recommendations to Strengthen & streamline processes
of operation functions 6. Organize, co-ordinate and
structure compliance related decentralized controls 7.
Assist in implementation of preventive actions in the
processes and procedures.
KRA2
Post Facto analyse and report on the sample policies and recommend corrective actions
1. Conduct checks on sample policies received by operational entities and analyze them, preparation of a report leading to process improvement or strengthening
process wherever required 2. Assist in providing
recommendations to Strengthen & streamline processes
of operation functions 3. Organize, co-ordinate and
structure compliance related decentralized controls 4.
Assist in implementation of corrective actions in the
processes and procedures
KRA3
Mystery Shopping & Checks for identifying and mitigating fraudulent activities
1. Conduct Mystery shopping at the empanelled medical
centers and other BSLI branches for detecting fraudulent
activities (PAN India) pertaining to the operational entities
2. Conduct System checks thereby placing controls to
mitigate fraudulent activities. 3. Black Box Audit to be
conducted on a Monthly basis to check the quality of
Business underwritten by Aura and provide a report and
recommendation to the department. 4. Analyzing the
entire claims data of the country, surrender/partial
Withdrawal cases and coming up with relevant patterns in
order to make stringent processes to curb the same. 5.
Assisting in Open and Discreet verification to be
conducted from time to time in discussion of Underwriting
and Claims team and ensure the reports are circulated as
per the desired timelines.
KRA4
Reporting & MIS
1. Assisting in maintaining proper MIS for each and
providing necessary information as per the requirement.
2. Assisting in providing Reports and recommendations to
Senior s and Management as per the requirement.
