Director, Fraud Claims Prevention

Lewis James Professional is a woman-owned staff augmentation, project consulting and direct hire search and placement firm. We are currently seeking a Director Fraud Claims Prevention

for a direct hire opportunity with a financial services client.

Responsibilities:

• The Director of Fraud Claims Prevention develops and maintains the people, process and technology required to correctly decision all out sorted exception payments before committed processing deadlines.
• Constantly evaluates opportunities for process improvement including leveraging AI and RPA.
• Builds teams that are knowledgeable/balanced in payments and customer satisfaction.
• Given the speed of new fraud attack vectors, develops change management readiness capability for all employees
• Understands the end-to-end flow within Fraud Protection Services to provide total cost reporting on decisioning.
• Provides guidance to LOBs on new payment product offerings or changes that may affect fraud losses/customer experience.
• Develops detailed fraud reporting on the success/failure of employee decisions which include false positive ratios and fraud losses avoided.
• Sets key performance indicators to measure and improve team performance.
• Leverages capacity planning models to meet day to day volumes
• Evaluates risk factors when making critical business recommendations.
• The Director of Fraud Claims Prevention promotes ethics and compliance; identifies opportunities and takes action to enhance compliance within the organization; completes internal testing to ensure compliance.
• Responsible for interviewing, hiring, planning, assigning work, appraising performance, progressive discipline and resolving problems.
• Provides leadership, direction and growth opportunities to members of the organization in accordance with the Company’s policies and applicable laws.

Qualifications:

• Bachelor Degree required; Masters Degree preferred or combination of education and work experience.
• Minimum of 8-10 years of industry experience required; 10+ years preferred
• Must have minimum of 8-10 years of personnel management experience
• Must have 8-10 years of payment or deposit experience.
• Must be able to travel domestically as required for site visits, etc

For immediate consideration, please click “Apply” and use Job Code BHJOB11837_4171. You may also send a copy of your resume to: and enter only the following job code in the subject line: BHJOB11837_4171. Lewis James Professional is an Equal Opportunity Employer. M/F/D/V