Jui Chowdhury

• Investigate Suspicious insurance claim across international market to identify potential fraud activities.
• Perform detailed fraud risk analysis using claim data, policy records, and customer transaction history
• Analyse insurance claim patterns to detect anomalies, fraud indicators, and high-risk transactions.
• Conduct end-to-end fraud investigations, including documentation review, policy verification, and claimant background checks by utilisation of fraud detection tools like OWS, LexisNexis and Lawsocity, analysis and monitor suspicious activities.
• Prepare investigation reports and case documentation for internal compliance and management review.
• Collaborate with claims, underwriting, legal, and compliance teams to resolve fraud cases.
• Ensure compliance with international insurance regulations, AML guidelines, and internal fraud policies.
• Maintain detailed records in case management systems and fraud database.
• Recommend fraud prevention strategies and process improvements to minimise financial losses.

• Handle inbound and outbound customer calls related to suspected fraud, unauthorized transactions, and financial crime alerts.
• Perform customer identity verification (KYC checks) before discussing account-related information.
• Investigate suspicious transactions, account activity, and fraud alerts using internal monitoring tools. Like OWS
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• Provide real-time support to customers regarding blocked transactions, card misuse, and suspicious activity notifications
• Conduct initial level fraud analysis (Level 1 investigation) to determine legitimacy of transactions.
• Escalate high-risk or complex cases to L2 Fraud Investigation / Financial Crime teams.
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• Maintain SLA adherence, quality standards, and regulatory reporting accuracy.
• Ensure data protection and confidentiality while handling sensitive financial information.

• Assisted customers with inquiries via phone, chat, and email.
• Resolved product and service issues efficiently and effectively.
• Documented customer interactions in the CRM system accurately.

• Achieved daily feedback targets as well as monthly targets given by the

client.

• worked as a SME in the same domain for a stipulated time of 3

months through our Internal Development Programme, work hand in hand with my TL to handle a team