Director, Fraud Claims Prevention
Lewis James Professional is a woman-owned staff augmentation, project consulting and direct hire search and placement firm. We are currently seeking a Director Fraud Claims Prevention
for a direct hire opportunity with a financial services client.
Responsibilities:
- The Director of Fraud Claims Prevention develops and maintains the people, process and technology required to correctly decision all out sorted exception payments before committed processing deadlines.
- Constantly evaluates opportunities for process improvement including leveraging AI and RPA.
- Builds teams that are knowledgeable/balanced in payments and customer satisfaction.
- Given the speed of new fraud attack vectors, develops change management readiness capability for all employees
- Understands the end-to-end flow within Fraud Protection Services to provide total cost reporting on decisioning.
- Provides guidance to LOBs on new payment product offerings or changes that may affect fraud losses/customer experience.
- Develops detailed fraud reporting on the success/failure of employee decisions which include false positive ratios and fraud losses avoided.
- Sets key performance indicators to measure and improve team performance.
- Leverages capacity planning models to meet day to day volumes
- Evaluates risk factors when making critical business recommendations.
- The Director of Fraud Claims Prevention promotes ethics and compliance; identifies opportunities and takes action to enhance compliance within the organization; completes internal testing to ensure compliance.
- Responsible for interviewing, hiring, planning, assigning work, appraising performance, progressive discipline and resolving problems.
- Provides leadership, direction and growth opportunities to members of the organization in accordance with the Company's policies and applicable laws.
Qualifications:
- Bachelor Degree required; Masters Degree preferred or combination of education and work experience.
- Minimum of 8-10 years of industry experience required; 10+ years preferred
- Must have minimum of 8-10 years of personnel management experience
- Must have 8-10 years of payment or deposit experience.
- Must be able to travel domestically as required for site visits, etc
For immediate consideration, please click “Apply” and use Job Code BHJOB11837_4171. You may also send a copy of your resume to: [email protected] and enter only the following job code in the subject line: BHJOB11837_4171. Lewis James Professional is an Equal Opportunity Employer. M/F/D/V