AVP of Claims, Fraud & Financial Crimes – Life, Health & Annuities
Core
Lead claims administration, fraud prevention, and anti-money laundering (AML) programs for Life, Health, and Annuity insurance products.
Role type
Senior executive (AVP) leading Claims, Fraud & Financial Crimes
Builds
Claims operations, fraud detection systems, AML compliance frameworks
Domain
Insurance (Life, Health, Annuities) + Financial Crime Prevention
Required skills
Claims adjudication, fraud investigation, AML compliance, risk management, regulatory expertise, process optimization, team leadership, data analytics
Preferred skills
Experience with complex/contestable claims, knowledge of Bank Secrecy Act (BSA), ability to partner with Legal/Compliance/Risk teams
Technologies
Claims management systems, fraud detection tools, regulatory reporting platforms
Responsibilities
Lead execution and enhancement of claims programs and policies; oversee investigation and adjudication of complex claims; lead fraud prevention and detection programs; serve as primary leader for AML program execution and oversight; identify and mitigate operational and reputational risks
Seniority
Vice President level, strategic leadership with hands-on oversight
