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0.0 - 4.0 years
0 Lacs
maharashtra
On-site
As a Quality Assurance & Review specialist, you will be responsible for scoring files against quality checklists, documenting errors, trends, and corrective actions. You will conduct root-cause analysis on repeat defects and drive preventive measures to ensure continuous improvement in the claims processing workflow. Your role will also involve ensuring regulatory and policy compliance by monitoring and ensuring all claims decisions and communications align with IRDAI guidelines, company policies, and data privacy norms. You will stay updated on regulatory changes, translate them into updated SOPs, checklists, and training notes, and support internal/external audits to ensure timely closure of observations. In addition, you will design and maintain control points in the claims workflow, validate consistent application of policy terms, exclusions, and sub-limits, and review exception approvals and high-value claims for policy/authority compliance. Monitoring fraud risk, identifying red flags, and escalating suspicious patterns to the fraud investigation team will also be part of your responsibilities. You will play a key role in training, coaching, and change management by providing feedback and coaching to claims processors, conducting refresher sessions on quality standards, documentation norms, and regulatory updates. Collaborating with Ops/Training to update SOPs, checklists, and knowledge repositories will be essential for continuous improvement. Furthermore, you will be involved in reporting and metrics by publishing periodic quality dashboards, tracking CAPA implementation status and effectiveness, and presenting insights and recommendations to management for continuous improvement. Stakeholder coordination with Operations, Compliance, Legal, IT, and Finance to resolve systemic issues and implement fixes will also be a crucial aspect of your role. Participating in process improvement, automation, or digitization initiatives and benchmarking internal quality standards against industry best practices to recommend enhancements will be part of your continuous improvement and projects responsibilities. This is a full-time, entry-level position located in-person. If you are passionate about ensuring quality, compliance, and continuous improvement in claims processing, we encourage you to apply now at btwgroup.co/careers.,
Posted 2 days ago
5.0 - 9.0 years
0 Lacs
karnataka
On-site
Working as a Senior in this team, your responsibilities will include leading and conducting internal audits from planning to execution and reporting. You will need to understand the client's business for planning audits across various business units and locations. Your role will involve defining and aligning audit programs for the processes in scope, leading process discussions with the client, and performing audit procedures according to the defined standards. Additionally, you will schedule and validate audit observations with the client process owner and draft audit reports as per the standards. Furthermore, you will lead and conduct internal controls uplift and transformation projects from risk assessment to gap assessment and designing controls. This will involve identifying material entities, processes, and controls through risk assessment procedures, conducting gap assessments on the process/controls landscape, and designing and transforming controls based on the assessment, system changes, and management objectives. You will lead control walkthroughs, perform control inquiries, review control documentation, and assess controls" design and operating effectiveness. Lastly, you will be responsible for drafting an overall report summarizing control gaps, recommendations, and testing results.,
Posted 4 days ago
5.0 - 9.0 years
0 Lacs
karnataka
On-site
The role involves conducting internal audits from planning to execution and reporting. This includes understanding the client's business, planning audits across various business units and locations, defining audit programs, leading process discussions, scheduling and validating audit observations, and drafting audit reports. Additionally, the position requires leading and conducting internal controls uplift and transformation projects. This involves tasks such as risk assessment, conducting gap assessments, designing controls, preparing/updating Risk and Control Matrices, SOPs, and flow charts, leading control walkthroughs, performing control inquiries, and drafting reports summarizing control gaps and recommendations. Overall, the responsibilities include planning, preparing, executing, validating, and reporting on internal audits, as well as leading controls uplift projects, risk assessments, gap assessments, controls design/transformation, and testing of design and operating effectiveness.,
Posted 1 week ago
4.0 - 9.0 years
15 - 30 Lacs
Gurugram, Bengaluru, Mumbai (All Areas)
Work from Office
As a global leader in assurance, tax, transaction and advisory services, we hire and develop the most passionate people in their field to help build a better working world. This starts with a culture that believes in giving you the training, opportunities and creative freedom. At EY, we don't just focus on who you are now, but who you can become. We believe that its your career and Its yours to build which means potential here is limitless and we'll provide you with motivating and fulfilling experiences throughout your career to help you on the path to becoming your best professional self. The opportunity: Model Risk Governance & Stress Testing Control - FSRM Our FSRM team is a fast-moving, high-growth area with huge potential. It offers variety, challenge, responsibility and the opportunity to realize your leadership potential. Our Financial Services Risk Management (FSRM) practice focuses on risk management, regulatory, quantitative, and technology backgrounds. The breadth of experiences of FSRM professionals enables the practice to coordinate the delivery of a broad array of risk management services to capital market participants throughout the world in a well-integrated manner. Role & responsibilities 1. Controls Design & Execution Serve as a reviewer of CCAR and high-level controls. Act as a backup for high-level controls. Support the enhancement of CCAR and high-level controls based on feedback from control testing 2. Guidelines & Procedures Documentation Assist in the development of procedures for Stress Testing Controls Maintain Model Development Guidelines and Ongoing Monitoring Guidelines. 3. Governance Program Management Assist the Model Governance team in building trackers and/or dashboards. Conduct secondary peer reviews on the MDD and OM Plan/Results to ensure alignment with MRM expectations. Support day-to-day governance-related tasks. Preferred candidate profile Graduate or Postgraduate degree in Mathematics, Statistics, Economics, B.Tech, or MBA. Hands-on experience of 3-10 years in Model Risk Governance, Stress Testing control, and CCAR. High attention to detail, strong communication skills, sense of urgency, responsiveness, execution of instructions, and a display of ownership. Proficiency in Power BI and Python. Skills and attributes: In addition to technical competence, what will set you up for success at EY is your ability to: Strong communication, documentation, facilitation, relationship-building, presentation and negotiation skills Be highly flexible, adaptable, and creative Broad consulting and project management skills, effective written and oral communication skills Pursue passions beyond work and invest in your wellbeing What we look for : People with the ability to work in a collaborative manner to provide services across multiple client departments while following the commercial and legal requirements. You will need a practical approach to solving issues and complex problems with the ability to deliver insightful and practical solutions. We look for people who are agile, curious, mindful and able to sustain positive energy, while being adaptable and creative in their approach.
Posted 1 week ago
5.0 - 9.0 years
0 Lacs
karnataka
On-site
You will be responsible for conducting internal audits end-to-end, starting from planning to execution and reporting. Your detailed responsibilities will include: - Planning: You will need to understand the client's business and assist in planning audits across various business units and locations. - Preparation: Define and align the audit program across the processes within scope in coordination with the client. - Execution: Lead discussions on processes with the client and carry out audit procedures following the defined standards. - Validation: Schedule and validate audit observations with the client's process owner. - Reporting: Prepare audit reports in accordance with the defined standards. Furthermore, you will lead or conduct internal controls uplift and transformation projects from risk assessment to performing gap assessment and designing controls. Your responsibilities will involve: - Risk Assessment: Identify material entities, processes, and controls using quantitative and qualitative risk assessment procedures. - Gap Assessment: Conduct gap assessments of the overall process/controls landscape through workshops, process discovery sessions, and policy/procedure reviews. - Controls Design/Transformation: Design and transform controls aligning with the gap assessment, system changes/upgrades, and other management objectives. - Preparation/Update of Risk and Control Matrices, SOPs, and flow charts. - Test of Design and Operating Effectiveness: Lead control walkthroughs, conduct control inquiries, and review control documentation for controls design and operating effectiveness assessments. - Reporting: Prepare an overall report summarizing control gaps, recommendations, and testing results.,
Posted 1 week ago
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