Summary
Overview
Work History
Education
Skills
Affiliations
Additional Information
Timeline
Generic
Christine Kumar

Christine Kumar

Insurance Claims Fraud Manager
Bangalore

Summary

Demonstrated record of accomplishment in proposing, outlining, and writing engaging, fresh content. Logical and methodical with a creative eye for details and diligence in producing exceptional work Well-versed in building interest in readers, marketing books, and critically approaching problems.

Overview

18
18
years of professional experience

Work History

Content Writer

Ekommerce 360
06.2022 - Current

As a content writer, I revise existing website content; at the moment, I produce around 8 blogs and training manuals every month. I'm supposed to find information, write it up, and then edit it such that it appeals to a specific niche demographic and ranks well in search engines.

My writing is flawless in terms of grammar, syntax, and spelling. The ability to study topics and work well with others are two of my strongest suits as a content writer.

Unit Fraud and Assistant Manager

WNS- Global
Bangalore
12.2014 - 04.2021
  • Oversee fraud investigations for the Bangalore team and also provide Fraud Alerts to the center received from other centers within Aviva and from Panel Solicitors
  • Update Bangalore center in terms of Financial Conduct Authority and Compliance as the Local Data Protection Officer
  • Monitor individual performance of every handler at the Bangalore Centre and setup KRA objectives for the Unit Fraud Team
  • Function as point of contact for the Claims Fraud Intelligence Team in the UK and devise training programs around that
  • Provide additional analyses were needed to determine inefficiencies within the department and implemented the fixes to these problems
  • Created ad-hoc Access queries to provide quick and precise answers to various customer and vendor requests
  • Complete research, analysis and documentation of account activity and used personal judgment to determine appropriate actions that removed or minimized BSA/fraud exposure
  • Recommend process and procedure changes and assisted in various projects designed to enhance the bank's overall deposit risk program
  • Serve as a signatory to Experian Credit Database for the Bangalore centre and Sit in on weekly conference calls with the UK teams to analyze the in-house tool that provides guidance to handlers to work on claims processing and fraud analysis.

Unit Fraud Advisor/Lead Associate

WNS
Bangalore
07.2012 - 12.2014
  • Investigated Personal Injury and Motor vehicle fraud claims and tracking suspicious behaviour of individuals who make claims via Aviva
  • Collaborated effectively with law officials and Special Investigators and Police Investigators to track down those involved in organized fraud and monopolizing the Insurance world
  • Answered queries efficiently and provided helpful and accurate advice to clients, customers and internal stakeholders on Fraud and Scam related queries through a variety of channels
  • Monitor and track companies, solicitor firms and individuals on the National Hunter Database to make sure we flag off these establishments/people from making such claims again
  • Worked on a Score Card that is linked with Bodily Injury
  • We audit and refer back to the TFCs who report into me
  • Lead the Video Conferences with clients to discuss the updates with them and also discuss the center’s progression
  • Investigated suspicious activity and making an informed decision on whether or not there is 1st or 3rd party compromises
  • Spearheaded a team to submit seven fraud scams in a period of three months for the center with a reserve of more than £3 Million

Team Fraud Coordinator

01.2010 - 07.2012
  • Directly worked on a caseload of Organized Fraud cases to investigate and save such claims
  • Submitted Intelligence to Claims Fraud Intelligence Team onshore
  • Contacted Underwriters with clients' information to cross check if the policies were active during the time of the accident and when clients (our policyholders) based on non-cooperation to withdraw indemnity from the active policies they held with Aviva
  • Conducted surveillance on serial claimants, gather evidence and substantiate allegations
  • Maintained constant communication with Solicitors' Firm on negotiations' and repudiations keeping the UK Laws in mind
  • Analyzed claimant medical reports for exaggeration and fraud so that this can be argued and repudiated
  • Gathered evidence presented to solicitors for arguments and repudiations rather than allowing this to go into litigation
  • Spearheaded a team of than 20 individuals to assist them with the investigations on fraudulent claims
  • In the absence of my superiors chaired Video and teleconferences with Solicitors back in the UK to discuss our fraud cases that are to be investigated and to analyze the weight of each claim
  • Created Presentations on topics regarding the Fraud Process for the aligned team for refresher training.

Intermediary Business Personal Injury Claims Handler

03.2008 - 01.2010
  • Identified and implemented solutions to achieve goals set, Establishing liability for that really caused the accidents and the communicating that to the Solicitors who are dealing with the claims for the third party
  • Identified fraud and refer this one to a Team Fraud Coordinator
  • Notable Achievements
  • Nominated as POC for Fraud queries because of the ability to point out fraud cases on the very first instance.

Customer Care Agent

Life Insurance
08.2005 - 03.2008
  • Provided and guided clients through the Life Insurance policies they hold with us
  • This required a cartload of knowledge of the way Life and Endowments policies work
  • Updated payments made by the insured and updating personal information and referring any policyholder who has the intention to commit fraud
  • Took an initiative to maintain and update the personal files and data of the entire team
  • Maintained break schedules and weekly reports as the POC for the team
  • Submitted articles, interviewed and proofread articles for POC for the Life Magazine “Life Un-Plugged”

Education

Bachelor of Arts - Psychology, English Literature & Sociology

Jyoti Nivas College
Bangalore

Skills

Interpersonal Relationship Managementundefined

Affiliations

Multi-faceted, efficient, and reliable professional with extensive expertise setting strategic goals, performing investigations of all complaints, sources, and leads, and conducting field visits and surveillance; and interviewing participants who are under investigation in order to examine the information presented; Adept at streamlining, developing and maintaining detailed organizational procedural processes that reduce redundancy, improve accuracy and efficiency, and achieve organizational objectives.. Skilled at providing leadership and management functions within business operations and redefining organizational service delivery. Proficient in strategic process development, delivering fiscally responsible strategies to resolve financial, accounting and fraud challenges to propel corporate growth and strengthen compliance. Expert management professional noted for utilizing out of box techniques in developing innovative ideas/procedures. Accomplished in building high-impact teams that drive continuous process improvements across all operations; articulate communicator, proficient with database programs including Microsoft.

Additional Information

  • NOTABLE INFORMATION , Tech Grand Prix- Winning Coach Team- 2004-America Online Star Team Award for Quarter III 2006 – Team – Aviva Life World Beaters- Star Team Award 2007 – Team – Aviva Life Achievement Award – Best New Comer – 2008- Aviva Claims Star Team Award for Quarter IV 2008- Intermediate Business Personal Injury- WNS Individual Excellence Award – August 2008 - WNS Excellence Award- Awarded the Claims Fraud Intelligence Teams’ “Team Fraud Coordinator of the Month” of July 2010. This is the first award issued in Bangalore by the onshore team fraud manager. Excellence Award- for achieving the “Highest Fraud Savings” in the month of March 2011 Excellence Award- for achieving the “Highest Fraud Savings” in the month of April 2011 Excellence Award- for achieving the “Highest Fraud Savings” in the month of June 2011 WNS Shining Star award (normally given to members in the leadership team)- For the Quarter- October, November, December- 2012 Star Team Award for the first Quarter of 2014. League of Champions Award- for the contribution of Extraordinary Performance 2014. Best Team Award- 2014 presented by Aviva Global Services for the contribution of 8 successful Fraud Scam Rings that were submitted by Bangalore.

Timeline

Content Writer

Ekommerce 360
06.2022 - Current

Unit Fraud and Assistant Manager

WNS- Global
12.2014 - 04.2021

Unit Fraud Advisor/Lead Associate

WNS
07.2012 - 12.2014

Team Fraud Coordinator

01.2010 - 07.2012

Intermediary Business Personal Injury Claims Handler

03.2008 - 01.2010

Customer Care Agent

Life Insurance
08.2005 - 03.2008

Bachelor of Arts - Psychology, English Literature & Sociology

Jyoti Nivas College
Christine KumarInsurance Claims Fraud Manager