Manager, Fraud Center of Excellence

Performs higher-level complex investigations, consulting projects and risk assessments of the Company's business processes and strategic initiatives, generally as the lead investigator. Provides guidance to Western & Southern Financial Group and its subsidiaries in fraud detection, prevention, monitoring, response, and reporting. Assists and leads coordination of cross-functional and operations-specific initiatives to optimize process efficiency and effectiveness. Works closely with the Sr.

Manager Fraud Center of Excellence, especially in strategic fraud response programs and Company goals. Maintains current awareness of fraud tactics and trends impacting the insurance industry as well as industry best practices for fraud prevention. Works with minimal supervision and is responsible to make an established range of decisions, escalates to Sr. Manager when necessary and updates Sr. Manager on a regular basis.

• Assists in execution and development of Company fraud program, strategy and policy, including strategic planning for fraud detection, investigation, response and ongoing risk assessment.
• Participates in and makes decisions on behalf of the Fraud COE on corporate projects and committees. Understands implications of initiatives and projects as related to fraud prevention and response and other Insurance Operations area processing. Addresses the interests of all business partners when making decisions while maintaining a broad corporate outlook at all times.
• Works closely with senior management and business partners to evaluate and make appropriate business decisions on fraud prevention and response. Fully understands implications of decisions made, including potential risk, legal ramifications, loss of revenue, establishment of precedence and impact on business relationships. Builds consideration of fraud prevention into all applicable activities, based on previous experience and knowledge of Company functions.
• Writes and edits investigative reports at the completion of investigations, consultations, and assessments, including appropriate observations and recommendations; clearly documenting and evaluating the fraud prevention risks and controls present in the manual and automated systems being reviewed. Provides timely information to the Director Fraud Center of Excellence regarding observations noted and recommendations for corrective action as well as process enhancement.
• Performs strategic planning regarding risk exposure and prioritization of objectives, activities, processes, controls, and technology.
• Manages assigned investigators and other resources in partnership with various business units to coordinate planning, assessment, investigation, recommendation and reporting to identify, respond, and enhance controls and procedures proactively and in response to fraudulent activity.
• Provides direct training and development of associates through coaching in investigative and risk assessment concepts.
• Maintains a working awareness of the fraud landscape in the insurance industry and related fields through participation with industry groups and self-study to gain expert knowledge on evolving fraud tactics, methods, tools, response activities, fraud theory, interviewing skills, and human relations skill to guide fraud response activities and control enhancement.
• Identifies and coordinates collection of key fraud-related data for tracking fraud attempts, identifying fraudulent activity in business operations, monitoring key risk areas, and similar activities; continually enhancing the department's ability to identify fraudulent activity through data analysis and strategic reporting; including automated fraud identification and reporting techniques and practices to optimize processes, mitigate risk, and increase effectiveness.
• Evaluates new fraud prevention technologies, services and systems available through various vendors. Works with Operations Leadership to negotiate pricing and manages implementation of selected contracts and technologies.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Provides direction to and development of associates through daily coaching, the administration of the Performance Management Model, and the creation and implementation of development plans. Recruits, hires, trains and develops staff.

• Bachelor's Degree in Accounting, Finance, Information Systems, Computer Science, Business Administration, Law Enforcement, or…