Karan Kumar Mahto

Operations Associate

Ranchi, Jharkhand, India2 yrs experience
Most Likely To Switch

Key Highlights

  • Expert in AML compliance within the insurance sector.
  • Strong analytical skills in fraud detection.
  • Proficient in data analysis and project management.
Stackforce AI infers this person is a compliance and fraud detection specialist in the insurance sector.

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Skills

Core Skills

Insurance ClaimsAml Red Flags In ClaimsCustomer ServiceData AnalysisProject Management

Other Skills

Adaptability and FlexibilityAdministrationAdvance ExcelAgile MethodologiesAnalytical SkillsBenefits RealisationBusiness AnalysisBusiness Process ManagementBusiness RequirementsClaims Fraud DetectionClaims ReviewCommunicationCompliance InvestigationsCritical ThinkingCross-functional Collaboration

About

Who I Am: A detail-oriented compliance professional with a focus on Anti-Money Laundering (AML) in the insurance sector, ensuring adherence to regulatory frameworks and best practices to prevent financial crime. What I Do: I work at the intersection of claims processing and AML compliance, reviewing suspicious claims activity, validating claimant identities, and ensuring that payouts comply with internal risk policies and regulatory expectations. Key Focus Areas: • Analyzing high-value or complex insurance claims (life) for red flags. • Verifying claimant profiles for KYC/CDD/EDD requirements. • Detecting fraudulent claims, forged documents, or collusion schemes. What I Bring: Strong analytical and investigative skills, a deep understanding of the insurance claims lifecycle, and hands-on experience with fraud detection tools and regulatory reporting.

Experience

2 yrs
Total Experience
1 yr
Average Tenure
1 yr 9 mos
Current Experience

Tata consultancy services

2 roles

Information Process Enabler l BFSI

Sep 2024Present · 1 yr 9 mos · Kolkata, West Bengal, India

  • Reviewed insurance claims exceeding risk thresholds for AML/fraud indicators.
  • Verified claimant documentation and performed enhanced due diligence for flagged cases.
  • Detected red flags such as early policy surrender, mismatched beneficiary information, and foreign fund inflows.
  • Escalated potential fraud and money laundering cases to internal compliance and legal teams.
Insurance ClaimsClaims ReviewKYC VerificationAML Red Flags in ClaimsClaims Fraud DetectionCompliance Investigations

Trainee

Sep 2023Aug 2024 · 11 mos · Kolkata, West Bengal, India

  • Proficient in managing the end-to-end process of policy issuance and modifications.
  • Provide exceptional customer service by addressing inquiries and concerns.
  • Ability to adapt to changes in policies, procedures, or industry regulations to ensure ongoing compliance.
  • Strong teamwork and collaboration skills, ensuring smooth cross-functional cooperation for optimal workflow.
Customer ServicePolicy IssuanceCross-functional Collaboration

Unified mentor private limited

Business Analyst Intern

Aug 2024Sep 2024 · 1 mo · Remote

  • Conducted detailed data analysis to identify business trends and provide actionable insights.
  • Collaborated with cross-functional teams to define and document business requirements.
  • Assisted in the development of business process models to streamline operations.
  • Supported project management efforts by tracking project milestones and deliverables.
  • Created detailed reports and presentations for stakeholders to support decision-making processes.
  • Utilized software tools such as SQL, Excel, and Tableau to analyze and visualize data.
Data AnalysisBusiness RequirementsProject ManagementSQLExcelTableau

Central coalfields limited

Marketing Intern

Aug 2022Sep 2022 · 1 mo · Ranchi, Jharkhand, India

Zreya wealth

2 roles

Campus Ambassador

Jul 2022Oct 2022 · 3 mos · India

Financial literacy

Jul 2022Oct 2022 · 3 mos · India

  • I worked on project titled Financial Planning and this project was aimed at creating financial literacy among common man.

Shoppers stop

Customer Care Associate

Dec 2021Jan 2022 · 1 mo · Ranchi, Jharkhand, India

Education

Sarala Birla University - SBU, Ranchi

Bachelor of Business Administration - BBA — General and Finance

Nov 2020Jul 2023

Guru Nanak Higher Secondary School

Commerce

Jul 2018Apr 2020

Oxford Public School Ranchi

Apr 2017Jul 2018

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