Sr. Group Operations Manager- ENTERPRISE FRAUD MANAGEMENT & CONTROLS (Phoenix or Newark)

Job Description:

Job Description & Responsibilities:

Sr. Group Operations Manager for Claims Resolution and Recovery organization. This role includes, but is not limited to, the following responsibilities:

• Oversight of the Claims operations located in multiple locations across the United States.
• Dotted line responsibility with India iClaims team & various vendors.
• Timely review Claims to determine pay/deny decisions on various claim types to include but not limited to Commercial, Small Business and Specialty Claim Types
• Recover potential Losses using all available tools and processes
• Ensure timely escalation and remediation of issues and Manage additional Enterprise Fraud Policy projects and functions as required.

Required Skills:

• Strong Operations experience in leading a team with a minimum of 400 FTE in multiple sites preferably with Fraud and / or non-Fraud experience
• Strong risk control framework
• Strong Analytical skills
• Ability to work with and communicate with all levels across the organization, leveraging advanced written, verbal and presentation skills
• Ability to Influence partners via data-driven business cases backed by subject matter expertise, and to encourage collaboration across lines of business.  ability to challenge in a firm but non-confrontational manner
• Ability to deliver across a varied set of priorities, both planned and ad-hoc, and adapt within a dynamic and fast-paced environment

Enterprise Role Overview:

Manages multiple major operations segment or multiple operations units of a dissimilar nature for a site, region or product line within the company's internal operations activities. Functions managed have high monetary exposure and risk involving the processing of large $ volumes and regulatory restrictions. Requires a working knowledge of end to end processes since decisions have significant impact affecting multiple and diverse operations and product lines. Resolves broad operational issues and coordinates activities and processes across lines of business and operations segments. Requires interaction with other lines of business as well as their own line of business to provide strategic direction and problem resolution. Identifies, analyzes and resolves complex problems related to product lines or functions, using general practices and precedents to resolve. Develops and analyzes procedures to enhance unit and/or product-related activity. Responsible for budget/expense management, reporting and forecasting for areas managed. Ensures proper communication and compliance of company and regulatory policies affecting areas managed. Awareness of Six Sigma/Lean practices and change management preferred. Directly manages 4-8 associates that are typically includes at least one Band 4 associate and other middle managers. May manage department(s) that have 250 plus associates that cover multiple shifts/complex

Shift:

Hours Per Week: