Irfan Mohammad, AIII, CIAFP

Fraud prevention and loss mitigation. Motor and non motor as well as internal case investigation

Fraud Management and Complaince audit, General offices sales process review located across India. Internal Audit Case Investigation and reporting on misappropriation of funds and fake cases. Instrument in development and implementation of preventive and corrective measures. Comprehensive Investigation of suspected fraud activities. Verification of policy documents and sales procedure followed. Software generated report / MIS Sensitization and recommendation of Disciplinary Action to be taken. Measuring performance and planning activities Calibration with Office Heads, Managing partners and QA’s to check the gaps and actions to be taken. Insuring completion of work within TAT.

Handled Third Party Motor Claims (Norwich Union - UK operations) as per the SLA. Identified the leakage areas and designed the claim matrix. Re-structured the business model from reactive to proactive claim settlement methodology. Validated motor claims fraud savings. Comprehensive Investigation of Motor accident claims. Police report verification. Worked on customer experience. Claimant statement and verification of Criminal record from court. Calculations of loss of use/earnings and other compensation claimed. Calibration with QA’s and operation teams to check the gaps and actions to be taken. Insuring completion of work within TAT. Study and understand the circumstances on the basis of statement provided by the parties involved. Worked on reduction of claim life cycle. Review and restricted the average claim reserves as per the updated derived data and requirement. Conducted Pre-process and process trainings. Responsible for work distribution and MIS reporting. Handling people (Team of 23 associates) and process issues. Worked on attrition control. Web based migration of process for Marine and Auto LOB. Designed and prepared the training material, teaching aids and devices. Upselling of additional coverage’s and approved repairer services. Ensured that all training material meet with relevant organizational and statutory policies. Key member in process setup had completed employee activation for 7 different processes.