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Investigative Services Head
2 months ago
About the Role
The Director, Investigative Services will lead a team of senior investigators, auditors, and data specialists in detecting, investigating, and resolving fraudulent claims within the Group Benefits and Retirement Solutions division at IA Financial Group.
Main Responsibilities
- Oversight of the team's daily activities, including work volumes, pending cases, recoveries, and the division's fraud risk program.
- Development and monitoring of operational metrics and KPIs, including financial outcomes.
- Transforming fraud and claim intelligence into risk management strategies and actions.
- Guiding direction of complex case investigations and decisions.
- Improving processes and routines to maximize operational efficiencies and outcomes.
- Interface with external vendors and represent IA Financial Group at industry forums.
Modernization Responsibilities
- Transforming the division's fraud management framework to manage risk in an automated claim environment.
- Driving forward technology transformation to automate audits and processes, leverage artificial intelligence and machine learning capabilities, and enhance data analytic capabilities.
Leadership Duties
- Evolving team skillsets, capabilities, and processes.
- Focusing operational efforts towards high-value tasks.
- Utilizing data-driven insights to inform strategies and actions.
- Improving outcomes and results while ensuring operational efficiencies.
Requirements
- Bachelor or Master's degree in a related field, preferably in data science, finance, accounting, or a related field.
- 10+ years of working or consulting experience in financial services, preferably with fraud or claims management operations.
- Planning and delivering large transformation initiatives.
- Project management experience, preferably with large-scale projects.
- Operationalizing new technologies, such as artificial intelligence and data analytics.
- Leading and designing data analysis exercises.
Skills
- Industry knowledge related to claims or fraud management, with an understanding of emerging market trends.
- Business needs analysis, solution generation, and project prioritization.
- Strategic business acumen and sound decision-making skills.
- Strong data analytical skills.
- Ability to navigate and solve ambiguous and complex issues.
- Change management.
- People leadership.
