Sagar Suryawanshi

-Conduct claim fraud investigations through data analysis, red flags, and tip-offs

-Coordinate with claims, underwriters, and legal teams for joint evaluation

-Maintain thorough documentation in line with regulatory guidelines -Support legal proceedings with case summaries and evidence -Use dashboards and reports to detect patterns and suggest

controls

-Train frontline staff on fraud indicators and reporting mechanisms

-Identifies fraudulent or exaggerated claims.

-Uncovers false information in applications or claims (e.g., fake injuries, staged accidents).

Ensures that the circumstances and losses claimed are accurate and covered under the policy.

Prevents unnecessary financial loss for the insurance company

-Speaking with claimants, witnesses, and involved parties. Gathering firsthand accounts and verifying information.

-Taking photographs, reviewing surveillance footage, and obtaining official reports Using background checks and social media analysis.

-Preparing detailed investigation reports with findings. Recommending whether a claim should be approved, denied, or further investigated.