Claims & Fraud Management Vice President job in Nashville, TN| Recruit Arrow
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Claims & Fraud Management Vice President
Location : Tennessee, Nashville
Refer job # VYGP337846
Job Responsibilities and Requirements: The incumbent will directly support several teams initially involved in creating new products and experiences within our mobility business. Key areas of focus include detecting and stopping organized fraud, detecting and stopping individual fraud, insure an effective and efficient adjuster experience, and incorporating machine learning algorithms into our platform. The incumbent will interface with peers that support the overall claim flow and fulfillment to provide an end to end and seamless customer experience. Develop and execute strategic vision for fraud mitigation product and platforms to deliver appropriate outcomes for our customers while addressing the over $500M in attempted fraud each year Own global claims management practices and fraud prevention efforts for both mobility and retail device protection businesses Lead team of 50 responsible for developing, implementing, and continuously improving s claims management and anti-fraud product Lead the effort to position our fraud products in line with our digital/mobile first strategy Develop products to move high risk claim review into the digital space Direct the continued discovery and implementation of machine learning algorithms used to detect both individual and organized fraud. Define, manage, and be accountable for performance on all relevant anti-fraud objectives and metrics Evaluate strategic partnerships/vendors to minimize cost of fraud Oversee s internal and external fraud investigation team Drive appropriate claim outcomes and certify systems compliance with applicable claims handling regulations Communicates anti-fraud capabilities, vision and competitive differentiation internally to senior team and externally to our clients especially those clients who purchase s Advanced Risk Management product Partner across internal functions (IT, Client Services, Product, Customer Solutions, Supply Chain, Program Management) and with carrier partners to create and drive change Build and lead cross-functional teams to identify claimant abuse. Design and lead the implementation of effective counter measures that impact multiple functions across the company Drive appropriate balance between mitigating fraud, delivering excellent customer experience and regulatory compliance Own and manage relationships with anti-fraud vendors Continually review processes to improve efficiency anti-fraud control and consistency of process across clients and geographies EDUCATION AND PROFESSIONAL COMPETENCIES: MBA preferred 10 years of experience within insurance, financial services, or corporate risk management Experience applying strong problem solving skills to complex financial/operational systems and associated integrated processes Strong business acumen and communications skills needed to interface with Executive Management and clients Demonstrated ability to build complex analytic models needed to understand issues at a detail level and forecast impacts of change Advanced knowledge of Microsoft Office Suite applications including Excel, Word and PowerPoint Excels at building and leading teams of high-performing professionals Exceptional ability to communicate and advocate our capabilities internally and externally Ability to anticipate problems and opportunities and the initiative to pursue solutions Ability to manage and influence effectively in a matrixed and collaborative environment at all levels of the organization Ability to thrive in an environment guided by s core values CERTIFICATES, LICENSES, REGISTRATIONS: This position requires valid Producer and/or adjuster licensing in all 50 states. This position must be able to acquire additional personal licenses when needed to facilitate the company s business around the world. TRAVEL: This position requires travel of approximately 15% to 25% of the time.
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