Conduct comprehensive desk and field investigations to verify the validity of insurance claims; detect and prevent insurance fraud; and provide factual reports to support the Claims Assessor/Manager in decision-making
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Conduct Field Investigations: Visit hospitals, police stations, state agencies, and events scenes to verify facts, collect medical records, and interview relevant witnesses/parties.
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Perform Desk Investigation.
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Fraud Management:
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Collaboration: Work closely with Claims Assessors and TPAs to clarify doubtful cases and share intelligence on fraud trends.
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Other tasks as requirement
1. Qualification: University degree in economics, finance, medical, law or equivalent
2. Experience: At least 01 years relevant Claims and investigation
