Operational Policy Fraud Leader

Aviva; Markham; Hybrid; CAD 120,000 - 150,000; Full time

Job summary

A leading company in the insurance sector seeks a Senior Leader of Operational Policy Fraud to drive and oversee operational fraud prevention and detection strategies. This pivotal role requires strong leadership and extensive experience within the insurance landscape, focusing on integrating fraud mitigation strategies and enhancing operational efficiency. The successful candidate will forge collaboration across teams and lead continuous improvement initiatives while aligning with Aviva's Enterprise Fraud Strategy.

Benefits

Base compensation and annual bonus

Retirement savings and share plan

Health benefits and personal wellness

Career development opportunities

Competitive vacation package

Corporate wellness programs

Employee-driven diversity and inclusion programs

Qualifications

• 5+ years experience in the insurance industry.
• 3+ years experience in an insurance fraud related role.
• Extensive leadership experience (10+ years) in insurance business.

Responsibilities

• Collaborate with teams to integrate fraud strategies.
• Design and implement comprehensive fraud prevention policies.
• Report on operational performance metrics related to fraud.

Skills

Strong leadership

Analytical mindset

Stakeholder management

Systems thinking

Change management

Financial awareness

Education

Bachelor’s degree in business, finance, accounting, law

Insurance designation (CIP or FCIP)

Job description

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence.

Our Personal Insurance Operational Effectiveness team is looking for a Senior Leader of Operational Policy Fraud. This is a pivotal leadership role responsible for driving the operational actions in response to suspected fraud as well as overseeing operational fraud prevention and detection strategies within Aviva Canada. This leader will work in collaboration with the Personal Insurance National Fraud Prevention Leader as well as the Claims Fraud teams, to improve our ability to identify, and mitigate, as well as ideally prevent fraud. The Senior Leader will collaborate with cross-functional teams to identify areas of improvement, develop and implement operational fraud strategies, and drive continuous process optimization ensuring alignment with Aviva Canada’s Enterprise Fraud Strategy.

Are you a strong leader with a strategic and analytical mindset? We want to hear from you!

What you'll do:

• Collaborate with cross-functional teams to integrate fraud mitigation strategies into overall business operations.

• Continuously assess and refine operational policies to adapt to emerging fraud trends and regulatory changes. Creation, Maintenance and Enhancement of Operational Insights.

• In line with Enterprise Fraud Strategy, design and implement comprehensive fraud prevention policies and procedures aligned with industry standard methodologies and regulatory requirements.

• Supporting Enterprise Fraud Strategy, operationalizing automated fraud referrals.

• Reporting on a monthly basis operational performance metrics, and highlighting emerging policy fraud trends and sharing with Enterprise fraud team.

• Champion a culture of continuous improvement by promoting change management principles and methodologies throughout the operations, working with other fraud areas to share method

• Apply systems thinking and other process improvement methodologies to identify bottlenecks, reduce waste, and enhance overall operational effectiveness

• Keeping informed about emerging fraud schemes and continuously adapt execution plans to effectively address new trends.

• Implement key operational controls relating to Operational Fraud

• Provide guidance and support to frontline teams and partners to ensure the operational areas operates at its highest level of efficiency in

• Participate in collaboration sessions relating to operational fraud efficiency, regulatory compliance, and key industry forums to influence the mitigation of fraud risks effectively

What you'll bring:

• Bachelor’s degree in business, finance, accounting, law or other related field or equivalent experience.

• Insurance designation (CIP or FCIP) is preferred.

• 5+ years experience in the insurance Industry

• 3+ years experience in an insurance fraud related role

• Strong Underwriting expertise

• Extensive leadership experience (10 yrs +) in insurance business.

• Expert knowledge of insurance regulation and statutory conditions, knowing when we can take policy actions.

• Solid understanding of methods of planning, developing and administering programs.

• Ability to make good decisions, use independent judgment, establish priorities and work effectively on multiple communication concurrently.

• Strong stakeholder management with the ability to interact confidently at all levels including Senior Management and external partners such as Brokers.

• Strong ability to influence and communicate across all areas of the business.

• Strong financial and commercial awareness.

• Experience of implementing Systems Thinking in complex businesses and embedment of sustainable change.

• A strong understanding of Aviva (strategy, structure and personalities) and/or an appreciation of the insurance/financial services market and regulatory framework governing it.

• Detailed understanding of internal and external system conditions

• Knowledge of products, supporting operational processes and underlying systems.

• Fosters a culture of growth and collaboration to drive meaningful improvements.

• Project/change management skills.

• Ability to build benefit cases.

What you’ll get:

• Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.

• Outstanding Career Development opportunities.

• We’ll support your professional development education.

• Competitive vacation package with the option to purchase 5 extra days off per year

• Employee driven programs focused on gender, LGBTQ+, origins, diversity and inclusion

• Corporate wellness programs to support our employees’ physical and mental health

• Hybrid flexible work model

Please note that we may use AI tools to help us through the recruitment process. This is a new position which has been posted both internally & externally.

Aviva Canada has an accommodation process in place to provide accommodations for employees with disabilities. If upon commencement of employment you require a specific accommodation because of a disability, please contact your Talent Acquisition Partner so that an appropriate accommodation can be arranged. This process applies throughout your career with Aviva Canada.