Job Description

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About Max Life Insurance:

Max Life Insurance Company Limited is a Joint Venture between Max Financial Services Limited and Axis Bank Limited. Max Financial Services Ltd. is a part of the Max Group, an Indian multi business corporation.

Max Life offers comprehensive protection and long-term savings life insurance solutions, through its multichannel distribution including agency and third party distribution partners. Max Life has built its

operations over almost two decades through need-based sales process, a customer-centric approach to engagement and service delivery and trained human capital.

As per public disclosures, during the financial year 2019-20, Max Life achieved gross written premium of Rs. 16,184 crore. As on 31st March 2020, the Company had Rs. 68,471 crore of assets under management (AUM) and a Sum Assured in Force of Rs. 913,660 crore.

For more information, please visit the Company\'s website at

We Stand for:

Caring

A compassionate leader who demonstrates appreciation for diversity in thoughts and approach towards people as well initiatives, eliminates biases to promote meritocracy. A coach who inspires people to excel and sets a culture of high performance.

Collaboration

A boundary-less leader who is capable of identifying & leveraging expertise of team members for superlative outcomes, thus, delivers to the organization\'s ask. A leader who addresses challenges with a solution oriented approach to create \xe2\x80\x9cwin-win\xe2\x80\x9d partnerships within & outside teams through inspired cooperation and teamwork.

Customer Obession

A leader who embodies Customer and keeps him at the core of all deliverables. Proactively anticipate customer needs and implement strategies to provide best in class customer experience.

Growth Mindset

An ambitious leader who can sponsor game changing ideas and rally the team to turn them into a reality. A leader who challenges the status quo, takes bold & creative actions to manage complex issues & achieve high impact goals by pushing self and others and raise the bar on performance.

People Leadership

A people\'s leader who inspires their teams to stretch themselves and achieve their true potential. A leader who create leaders by coaching, empowering & motivating them to deliver superior business outcomes.

"Max Life Insurance is an Equal Opportunity Employer and promotes inclusion and diversity."

Career Opportunities

Position

Manager - Special Investigation Unit

No. of Positions

1

Department

Internal Assurance

Function

Fraud Prevention and Control

Reporting to

Chief Manager

Band

4

Location

Ahmedabad / Mumbai

Job Summary:

• The position is accountable for planning, organizing and managing Claims, Market Conduct and Whistle Blower Investigations for Special Investigation Unit for the allocated Zones.
• Responsible for prevention and detection of frauds and investigation of Mortality / Claims cases

Key Responsibilities:

• Manage Investigations for Controlling Mortality and reduction in Crude Death Rate

• New Business Investigations, i.e., Customer Existence / Document Verification through agencies
• Coordinate with Branch Operations Teams to fix the gaps and prevention of frauds at proposal stage by conducting random and risk based sample audits of New Business proposals and Agent Recruitment forms
• Manage Investigations of early and suspicious claims (referred by Claims Team) through Agencies / visiting hospitals for cracking claims nexus
• Conduct Field Verifications on leads shared by Underwriting Risk Management Unit

• Control Business Quality, Behavioral Issues & Frauds:

• Regularly visit branches in the region and coordinate with stakeholders (Distribution / Ops / HR/ L&D) for quality control of business logged via conducting awareness sessions, data analytics, etc.
• Investigate Fraud / Misappropriation of Funds, Financial embezzlement, and initiating recovery for such incidents occurred in Zone
• Investigations on Behavior/ Harassment issues in conjunction with HR
• Investigate violations related to Code of Conduct and other Company\' policies

• Trend Analysis and Proactive Investigations and Training sessions:

• Identify patterns of Sales Malpractices and conduct / facilitate field investigations
• Conduct Spot Audits in branches to check malpractices like document forgery, etc.
• Conducting Training / Sensitization sessions in the regions
• Coordination with law enforcement agencies;

• Establish contacts with police officers for managing local issues
• Coordinate with Legal Team for filing any Police Complaints / FIRs including follow-ups with police stations in the region
• Representing Legal Team in Ombudsman and Mediation cell cases, as needed

• Records and Agency Management

• Ensuring record maintenance of all investigation reports for future review purposes
• Recruit and manage quality Field Investigation Agencies for New business document verifications and Claims Investigations
• Ensure regular Audit on investigation reports of Agency & monthly billing of agency bills

• Close Looping basis findings of Investigations;

• Get actions on perpetrators initiated basis Investigation closure
• Identify Process Gaps and get the process corrected

Measures of Success:

• CDR for the region to show positive trend by 15%
• Reduction of fraud incidents in the region
• Incidence of fraudulent death claim drop by 20%
• Facilitating the filing of Police Complaints for identified cases and clearing of the already filed Police Complaints
• Completion of Investigations within stipulated timelines
• Publication of investigation reports / study reports with requisite evidences and corrective and preventive measures
• Effective closures of impropriety cases and ensuring implementation of disciplinary actions in line with Disciplinary Action Process

Desired Experience/ Profile:

• Demonstrated skills in fraud detection /employee investigation / monitoring/ Specialist in Document and Signature forensics/ Handwriting expert shall be preferred
• Bachelors degree in any discipline
• 3 - 5 years of relevant experience in Fraud Investigation and Dealing with law enforcement agencies (Police)

Knowledge and skills required:

• High analytical skills
• Strong on core values of Max Life
• Strong communication (verbal and written), interpersonal, and influencing skills
• Position requires extensive travelling

• ELIGIBILITY for IJP

• Candidates who have a performance rating of G2V2 & have completed 12 months in the current role
• Candidates who have a performance rating of G3V3 & have completed 18 months in the current
• FOR LATERAL MOVEMENT, candidate should have completed at least 12 months in the current

Role & have a minimum performance rating of G3V3.

Max Life Insurance