Fraud & Claims Operations Manager - BFS

Fraud & Claims Operations Manager (18-20 yrs)

We are seeking an experienced Fraud & Claims Operations Manager to lead fraud investigations, claims management, policy violation reviews, and risk mitigation initiatives. The role will be responsible for managing high-performing teams, ensuring regulatory compliance, strengthening control frameworks, and driving operational excellence across fraud and claims programs.

Key Responsibilities:

- Lead and develop teams responsible for fraud investigations, claims management, and policy violation reviews.

- Establish and implement risk-based policies, procedures, controls, and governance frameworks.

- Oversee complex fraud and claims cases, ensuring timely, accurate, and compliant resolution.

- Identify fraud trends, control gaps, and root causes; recommend corrective actions and process improvements.

- Partner with Risk, Compliance, Legal, Audit, and business stakeholders to manage risks and support governance activities.

- Drive performance, quality, employee development, and a strong risk management culture.

Required Qualifications:

- 10+ years of experience in Fraud Investigations, Claims Management, Risk Management, Compliance, or related functions.

- 4+ years of people management or leadership experience.

- Strong knowledge of fraud typologies, investigation methodologies, control frameworks, and regulatory requirements.