Director - Fraud Financial Analysis

Description

This position leads the Fraud Detection & Deterrence strategies for Policy Billing & Payment Investigative verticals.

Lead strategic and operational fraud investigative programs across multiple verticals on a national scale. Deliver enterprise-level direction for fraud detection prevention and risk mitigation while overseeing investigations that may be confidential in nature spanning across customer policy billing and payment vendor activity agent misconduct internal and/or organized fraud. Manage a team including multiple managers responsible for discrete fraud verticals; drive innovation cross-functional collaboration and continuous improvement in detection controls and investigative capabilities. Partner closely with data science analytics legal talent compliance technology and business units to ensure fraud strategies minimize financial loss and reputational risk while aligning with enterprise risk management objectives.

Qualified candidates should have 5+ years' leadership experience in investigative underwriting or billing/finance teams with strong analytical and communication skills. Experience collaborating across departments and with an entrepreneurial mindset is required. Candidates should be adaptable to change and ambiguity able to research and analyze data leading to the generation of new ideas that enable the business we support to reach their goals.   This leader will have demonstrated success in creating a high performing fully supported and engaged culture where voice is celebrated and teams are focused on quality development accountability effective communication and operational efficiency.

Primary Responsibilities:

Strategic leadership

• Develop articulate and implement an enterprise-wide fraud strategy that strengthens prevention detection investigative response and risk mitigation across owned fraud verticals.

• Align fraud strategy with enterprise risk priorities lines of business initiatives regulatory obligations and senior leadership objectives.

• Translate strategic goals into annual plans prioritized initiatives and measurable outcomes.

• Consult upon enterprise fraud plans model deployment regulator/law enforcement referrals and material escalations. Own budget for fraud technology and headcount across verticals.

People leadership team management & talent development

• Lead and develop multiple managers and supervisors and their investigative teams nationwide; hold regular 1:1s conduct formal evaluations and build individual development plans.

• Build and sustain a high performing ethical culture focused on operational excellence collaboration retention and continuous learning.

• Drive targeted hiring effective onboarding career pathing recognition and workload balancing to maintain capacity and engagement.

Fraud detection intake oversight & confidential investigations

• Oversee intake prioritization triage and investigative assignment processes to ensure timely thorough analysis of referrals and alerts.

• Manage and provide executive oversight for highly confidential and sensitive investigations; ensure investigative rigor defensible findings and compliance with legal privacy and organizational standards.

• Establish and implement investigative methodologies evidence handling chain-of-custody and documentation standards.

Investigation quality & integrity

• Establish QA program to measure holistic quality and address the opportunities in the organization and conduct senior-level calibrations with managers; ensure adherence via audits of audits.

• Enforce ethical standards and a culture of integrity; ensure investigations are objective well documented and legally defensible.

Cross-functional collaboration & stakeholder engagement

• Partner with data science analytics and others to co-develop detection queries models dashboards and investigative tooling that enhance proactive identification of fraud.

• Coordinate with legal compliance Technology Talent Procurement Underwriting Effectiveness Director of State Operations and Billing Operations units to design controls remediation plans and escalation protocols.

• Work closely with Claims SIU to coordinate joint investigations share investigative tools systems and knowledge.

• Represent fraud investigations in senior leadership forums and enterprise risk committees; communicate trends risk posture and recommended actions.

Vendor management

• Collaborate with Procurement and CFH Process to identify vendors that enable investigative accuracy and efficiency.

• Manage the relationship and contract with the vendor ensuring adherence and quality work product

• Ensure the teams are engaging the right vendor for the right task without redundancy or unnecessary engagement.

Rapid response leadership & external agency coordination

• Lead the investigative aspects of rapid response capabilities for urgent fraud incidents (including cyber fraud) and coordinate cross functional incident response.

• Partner with state Departments of Insurance (DOI) law enforcement and regulatory agencies to report criminal activity support investigations and facilitate prosecution where appropriate.

Operational oversight & resource management

• Oversee resource allocation capacity planning and budgeting to optimize investigative coverage and operational efficiency.

• Set unit-level productivity quality and SLA targets; monitor throughput backlog and workforce planning to meet business needs.

• Resolve prioritization conflicts and reallocate resources to protect critical investigative throughput and team wellbeing.

Governance compliance & risk oversight

• Establish maintain and enforce consistent investigation standards policies and compliance frameworks across owned fraud verticals.

• Ensure activities meet regulatory requirements privacy/security standards contractual obligations and enterprise policies.

• Manage escalations for material fraud events and support legal or enforcement actions as needed.

Reporting analytics & performance metrics

• Define and own KPIs dashboards and reporting for fraud activity financial impact remediations and operational health.

• Leverage analytics to identify trends root causes and opportunities for automation and enhanced controls.

• Prepare and present fraud risk reports and strategic recommendations to senior leadership and risk committees.

Change management & continuous improvement

• Lead process improvement automation and technology adoption initiatives to increase investigative effectiveness and operational efficiency.

• Communicate changes early solicit stakeholder input and manage rollouts to minimize disruption and secure adoption.

• Promote continuous learning quality assurance and manager calibrations to sustain high investigative standards.

Qualifications

• Bachelor’s degree with 10 years of relevant experience or the equivalent required.

• 5+ years of leadership experience directly overseeing fraud investigations underwriting or billing/finance fraud investigation teams with strong analytical and communication skills.

• Demonstrated success in creating a high performing fully supported and engaged culture where voice is celebrated and teams are focused on quality development accountability effective communication and operational efficiency.

• Strong understanding of the Insurance Business and Personal lines and key business and performance drivers

• Superior analytical and critical reasoning skills with an ability to effectively communicate and covey messaging to executives

• Effective skills for writing reports/proposals and creating/making presentations.

• Strong influencing skills in order to be seen as the decision maker when interfacing across teams

• Must be driven and flexible to succeed in ambiguous and less structured situations. Comfortable with making decisions with some level of uncertainty.

• Will need to influence actions and drive results among parties with different agendas and reporting relationships.

• Ability to work independently and lead cross-functional groups during decision making.

About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills experience education certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. As a purpose-driven organization Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships comprehensive benefits and continuous learning opportunities we seek to create an environment where employees can succeed both professionally and personally. At Liberty Mutual we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care we help people embrace today and confidently pursue tomorrow. We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs) which are open to all we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers. We value your hard work integrity and commitment to make things better and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race color national origin sex sexual orientation gender identity religion age disability veteran's status pregnancy genetic information or on any basis prohibited by federal state or local law. Fair Chance Notices

• California

• Los Angeles Incorporated

• Los Angeles Unincorporated

• Philadelphia

• San Francisco