Manager, Compliance & Fraud Investigations

DESCRIPTION

This role contributes to the success of the Central Fraud Hub by managing a Small Commercial Policy Investigations Team. The manager will oversee a team of Policy Investigators by establishing objectives, directing the day-to-day operations, and managing the performance and development of the investigators. The Policy Investigations Teams within the Central Fraud Hub are responsible for investigating and taking corrective action on customers suspected of material misrepresentation and illegal activity.

This role will be responsible for driving calibration on the team, ensuring quality, pushing productivity, partnering with compliance and legal groups to ensure proper handling and partnering with data teams to ensure quality leads are provided to the team. Responsible for analyzing and compiling results and presenting findings to management. Provides technical guidance to the business in the development controls, process changes, cost saving measures, and pursuit of financial recovery.

Responsibilities

* All managerial duties for their assigned direct reports, including interviewing, onboarding, training, and performance evaluations.
* Ensures proper compliance with state and federal underwriting regulations as well as alignment with the underwriting appetite and strategy stated by Product partners.
* Maintain close partnership with data science partners on the improvement of existing and creation of new lead queries, with an emphasis of proactive identification.
* Responsible for reporting out and gaining the necessary buy-in from Field, Product and xFunctional business partners to promote problem solving and business improvement.
* Responsible for the oversight of a team that is focused on both Safeco and Liberty Mutual branded policies.
* Requires the agility to change focus quickly and manage multiple stakeholders’ wants and needs.
* Ensures each investigation is completed according to established standards and procedures. Recognizes opportunities and implements improvements to standards and procedures
* Facilitate and participate in calibration with field partners and promotes field problem solving using insights from teams work product.
* Supports Continuous Improvement and Participates and/or leads Root Cause Problem Solving events (RCPS).
* Mentor and Develop staff in data analysis and results presentation.

Experience Required

* Five or more years of direct people leader experience.
* Bachelor`s degree in related field, or equivalent, 7 or more years of experience in a combination of detailed investigations or quality assurance involving claims, employees, vendors, investigation management, and/or handling of white-collar crime investigations.
* Experience in investigating material misrepresentation and fraud within the Small Commercial line of business.
* Comprehensive knowledge of Small Commercial Underwriting principles and regulations required.
* Extensive knowledge of distribution, service, underwriting, billing, claims, state regulatory environments, and investigations.
* Strong written and oral communication skills required.
* Strong relationship management skills.

Preferred Experience

* Familiarity with Small Commercial Underwriting and Product platforms and understanding of Premium Audit within Small Commercial.
* Experience in building out a new team, testing & tuning data, and creating SOPs.
* Familiarity with generative AI and automation tools, and comfort learning how to apply them in your work.

QUALIFICATIONS

* Bachelor`s degree in related field, or equivalent, 7 or more years of experience in a combination of detailed investigations or quality assurance involving policy, finance, agent, or claims, investigation management, and/or handling of white-collar crime investigations
* Extensive knowledge of business practices (eg, Distribution, Service, Product etc), state regulatory environments, and finance/actuarial/accounting practices as they apply to business operations
* Demonstrated ability to manage people effectively to get outstanding business outcomes as well as advanced skills in the areas of employee selection, development, and performance management
* Excellent communication and management skills are required as well as the ability to deal effectively with employees at varying organizational levels and customers outside of the organization
* Proven records to assess strategic opportunities for field operations and drive changes in the market and sustain the improvements
* Strong thought leadership to partner with Product, Analytics, Strategy, and Finance to influence the strategic directions and priorities
* CFE and/or CPCU designation preferred

TRAVEL

10%

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