Job Description
This is a business-led role requiring deep insurance and FWA domain expertise. Candidates with predominantly IT project management backgrounds without claims or fraud experience will not be considered.
We are seeking an experienced Claims FWA Program Manager to lead enterprise-wide fraud, waste, and abuse (FWA) initiatives within the insurance claims function. This is a business-facing leadership role requiring strong insurance domain expertise, analytics capability, and program management experience (not a typical IT PM profile).
The role focuses on protecting financial and reputational integrity by strengthening FWA detection, prevention, and governance frameworks across the organization.
Key Responsibilities
- Strategic Leadership & Governance
- Design and implement enterprise-wide FWA frameworks, policies, and operating models
- Establish control testing procedures to proactively mitigate fraud risks
- Driv...