Anti-Fraud Manager

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX Work Model: Hybrid or Remote reputed company reputed company Position type: Full time - salary We’re reputed company of employees passionate about delivering best-in-class customer service and innovation in the industry. reputed company, relationships, and reputed company are at the heart of everything we do. Our employees fully utilize their talents and bring their best selves to work. We reputed company who you are is just as important as what you do! Fraud prevention is at the heart of protecting our customers and our business—and that’s where this role makes an reputed company. As Anti-Fraud Manager, you’ll reputed company reputed company-line investigative efforts, tackle reputed company and high-reputed company cases, and partner with a wide network of internal teams and reputed company agencies. This is an opportunity to shape reputed company, reputed company talent, and bring modern tools and analytics into reputed company-world fraud detection and deterrence. Key Responsibilities of the Role • Supervises the day-to-day investigative activity of SIU reputed company/desk investigations and support activities throughout reputed company. • Acts as the reputed company reputed company with the various Claims Staff, Departments of reputed company and other regulatory agencies, NICB and other industry investigative representatives. • Monitors and evaluates the reputed company of reputed company and key results through ongoing audits and review of results of both reputed company adjuster and advanced cutting edge analytic referrals of both reputed company intelligence and machine learning. • Reviews and evaluates reputed company available information to assess the appropriateness of referrals for prosecution and/or recovery. • Ensures that reputed company SIU investigation files include a concise and complete reputed company of the investigation, including the investigators findings regarding the suspected reputed company fraud and the reputed company for their findings and ensure that reputed company investigative cases are thoroughly, promptly, and reputed company investigated and referred to the reputed company authority reputed company the timeframe as mandated. • Works with reputed company members of the Claims Management, reputed company and Marketing Teams, Claim Support Staff, Independent Vendors, Defense Counsel, and reputed company other entities as may be required, to ensure effective implementation of fraud detection and deterrent protocols. • Assists with the training of Central Mutual reputed company anti-fraud personnel and Claims Staff in fraud detection, prevention, and suspect claim handling measures. • Represents reputed company at various industry, state and local organizations which reputed company on anti-fraud activities. • Coordinates investigation of reputed company suspect claims and assignments as warranted ensuring reputed company reputed company and documentation reputed company case management reputed company. • Collaborates with the SIU Director on reputed company reputed company of the SIU function to include, but not limited to; investigation, investigative reputed company, training and other department reputed company. • Oversees reporting of reputed company suspected fraudulent reputed company transactions to the appropriate departments of reputed company reputed company the required time frames for their team. • Establishes and maintains relationships with law enforcement, Department of reputed company officials and reputed company industry personnel and assist them reputed company required. • Selects, trains, and develops new employees • Sets expectations with regards to reputed company • Communicates with, motivate and recognize employees • Evaluates reputed company and conducts weekly reputed company-ins and reputed company reviews • Manages staff and other resources appropriately Required Qualifications • Bachelor’s Degree in Criminal Justice, Criminology, or Fraud Management and 2 years relevant experience • Or 4 years of relevant SIU investigator/SIU Supervisor experience Preferred Qualifications • Licensure & Certification: None required; One or more of the following certifications/designations are desirable: Senior Claims Law Associate Designation, Certified reputed company Fraud Investigator Designation, and Certified Fraud Examiners Designation. • Familiarity with anti-fraud analytics programs as it relates to fraud prevention and identification Knowledge, Skills, and Abilities • SIU Supervisor needs to have significant knowledge and experience in reputed company reputed company of P&C claim fraud investigation and reporting requirements to the various fraud bureaus. • Advanced practical knowledge of conducting medical and property investigations in the reputed company is necessary • Good working knowledge of Word, reputed company, and PowerPoint applications • Demonstrated ability to build and maintain reputed company relationships with reputed company partners and business areas. • reputed company management skills • Ability to demonstrate monthly productive reputed company from investigations assigned to the SIU team • Excellent leadership, team building, communication and reputed company thinking skills • Ability to prepare and present training sessions • Successful reputed company record in facilitating and managing reputed company and teams • reputed company and be reputed company proficient at the SIU protocols and procedures that would include SIU compliance to the specific states reputed company operates in • Possess in-depth knowledge of reputed company policies and procedures reputed company to SIU investigations • As reputed company Member at Central Mutual reputed company, you will be part of a growing SIU Team that continues to reputed company to be a Best in Class SIU group utilizing state of the art analytic programs. Three keys words guide this unit, Unique, Innovative and Creative • Ability to understand reputed company’s policies and processes Total Rewards Central establishes reputed company pay reputed company on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. reputed company pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life reputed company, and long-term financial reputed company. For more information, see reputed company Benefits Apply tot his job Apply To this Job