Fraud and Claims Operations Director.

In this role, you will:

- Manage and develop specialized teams of managers and professional individual contributors with a focus on executing risk-based fraud and claims program

- Identify, formulate, and implement risk policies, procedures, and controls for the respective business or enterprise functions associated or affected by its outcomes

- Identify opportunities and strategies for formulating and implementing risk policies, procedures, and controls for business or enterprise function

- Address issues and maintain an awareness of fraud and claims activity across the company

- Lead fraud and claims team by making strategic decisions to resolve reporting of fraud and claims activities

- Interpret and develop range of procedures, controls, and trend data in order to ensure proactive identification of fraud and claims activity

- Collaborate with and influence immediate fraud and claims colleagues as well as more experienced business leaders

- Manage allocation of people and financial resources for Fraud and Claims Operations

- Develop and guide a culture of talent development to meet business objectives and strategy

Required Qualifications:

- 10+ years of Fraud Claim Investigation or Policy Violations, Risk Management, or Compliance experience, including Management or leadership experience, or equivalent experience demonstrated through one or a combination of the following: work experience, training, military experience, education

- 4+ years of management or leadership experience

Desired Qualifications:

i. Fraud Claims Investigation, Policy Violations, Risk Management, Compliance, or related control functions, preferably within financial services, banking, fintech, or regulated industries.

ii. Demonstrated people management experience, including leading investigators, analysts, or risk/compliance teams, with accountability for performance, quality, and outcomes.

iii. Strong working knowledge of fraud typologies, investigation methodologies, control frameworks, and regulatory expectations related to fraud prevention and claims management.

iv. Experience applying policies, procedures, and governance standards to complex or high risk cases while exercising sound judgment and decision making.

v. Proven ability to partner with Legal, Compliance, Risk, Audit, and Business stakeholders to resolve issues and drive remediation.

Job Expectations:

i. Lead and oversee fraud claims investigations and policy violation reviews, ensuring timely, accurate, and compliant case resolution.

ii. Provide day to day management and coaching to investigation or risk teams, driving consistent execution, quality standards, and employee development.

iii. Ensure adherence to enterprise policies, regulatory requirements, and internal control standards, escalating material risks and issues as appropriate.

iv. Review complex, high impact, or sensitive cases, applying strong risk judgment and investigative rigor.

v. Identify trends, root causes, and control gaps; recommend process improvements, corrective actions, and risk mitigation strategies.

vi. Partner closely with cross functional teams to support risk governance, audits, regulatory exams, and management reporting.

vii. Foster a strong risk culture by promoting accountability, ethical conduct, and continuous improvement across the team.