· Monitor and investigate suspicious sales activities
· Conduct in-depth investigations into life insurance claims
· Use data analytics to determine fraudulent patterns, recognize anomalies and develop strategies to curb fraud
· Design and implement fraud prevention policies.
· Design training programs for the sales, underwriting and claims teams
· Meet internal turnaround times (TATs) and service-level standards
· Develop and deliver fraud preventive activities for internal auditor, operational staff and senior management
· Identify process gaps and propose improvements for efficiency and fraud prevention.
· Support data accuracy, claims analytics, and management reporting.
· Ensure claims decisions mitigate financial, legal, and reputational risks.
· Collaborate with Legal, Risk management and HR functions to resolve internal fraud
· Collaborate with external law enforcement agencies, providing evidence for criminal /civil proceedings
· Ensure all investigations adhere strictly to local privacy, data protection and insurance industry laws