Day-to-Day Responsibilities
Reviews a sample of claim files to check that payouts match policy terms and supporting documents.
Tests underwriting decisions to see whether premiums and risk acceptance follow the company's guidelines.
Checks compliance with IRDAI regulations, circulars and reporting requirements.
Examines reserves, financial statements and solvency figures alongside the finance and actuarial teams.
Looks for signs of fraud or unusual patterns and reports them to management or the fraud control team.
Prepares audit working papers, findings and recommended corrective actions.
Follows up with branch and claims teams until each issue is closed.


