
Senior Fraud Risk Manager
1 day ago
We seek a seasoned Risk Management professional to spearhead our fraud detection initiatives. Key responsibilities include designing and implementing robust risk frameworks, managing investigations through contracted third-party agencies, collaborating with law enforcement and internal stakeholders, and driving awareness across teams.
Main Responsibilities:
- Develop and execute comprehensive fraud risk management strategies spanning customer and distributor lifecycles.
- Monitor transactions, claims, and sales practices to identify potential red flags and fraudulent patterns.
- Lead and oversee investigations of suspected fraud cases through partnered risk agencies, ensuring timely closure and high-quality reporting.
- Evaluate and monitor the performance of contracted risk agencies to guarantee adherence to defined service level agreements and investigation quality standards.
- Drive targeted training programs for vendors to enhance competency, investigation skills, and compliance with fraud risk protocols.
- Collaborate closely with internal teams (underwriting, claims, operations, audit, compliance) to strengthen process controls and mitigate risks.
- Liaise with law enforcement agencies and industry bodies to address complaints and resolve issues.
- Foster a culture of fraud awareness and education among distribution channels and operations teams.
- Analyze root causes of fraud incidents and recommend process improvements to minimize future occurrences.
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