Head of Fraud and Complaints F/M

il y a 3 semaines

Malakoff, Île-de-France AXA Group Temps plein

The Fraud and Claims Manager will have a cross-functional role across operations and geographies, working with local representatives to provide guidance and support on complex and sensitive cases or, escalate sensitive cases to management as directed.

He/she will work collaboratively with various teams (IT, Operational Excellence, Data Analysis) to improve management and evolve tools, as well as with non-operational functions (legal, compliance, internal control) as required.

Reporting to the Operations Department, and to the Head of Cost Effectiveness, Data Analytics and Governance, your main responsibilities will be as follows:

1) On the Fraud side:

  • Carry out a fraud risk assessment, identifying the main areas at risk
  • Lead the improvement of TIA (premium and claims management tool) and reporting to strengthen fraud detection.
  • Facilitate, where necessary, collaboration with local antifraud bodie
  • Monitor and support Operations Centers on fraud case
  • Explore, implement and manage IT projects with external suppliers concerning fraud detection.

2) On the Claims side:

  • Monitor claims volumes, trends and KPIs, and work with Operational Centers on indepth analysis where necessary.
  • Ensure a robust process is in place to manage and escalate sensitive claims to management as directed
  • Promote the improvement of TIA, procedures and reporting to ensure smooth and standardized claims management
  • Ensure and coordinate the organization of the Ex-Gratia Committee.

3) Concerning Fraud & Claims:

  • Ensure that CLP Operations comply with AXA standards and guidelines and meet regulatory requirements.
  • Set up adequate reporting to share with relevant stakeholders and regulator
  • Facilitate/mobilize local antifraud and claims management communities within Operational Centers by providing support and sharing learning
- liaise with the Training team to organize anti-fraud and claims management training and procedures, as well as a fraud awareness program

  • Update antifraud, claims management and litigation guidelines, as well as SCALA controls as required.
  • Represent CLP on fraud and claims issues (Risk Committee, AXA Partners Committee, Sensitive Cases Committees, Internal Control, Audits)
  • Support the TPA Management pillar in matters related to fraud and claims...
Education and experience

  • Proven experience (at least 10 years) at a management level in operations within an insurance company or broker is essential, with solid experience in claims management and the fight against fraud.
  • Master's degree in business administration, engineering, actuarial science or underwriting
  • Good knowledge of credit and lifestyle insurance in France, as well as foreign markets, is a plu
  • Fluency in English and French (spoken and written)
Skills

  • Excellent analytical and numerical skill
  • Ability and confidence to challenge current processes and promote continuous improvement
  • Excellent presentation and communication skills (oral and written) and ability to interact at all level
  • Experience in federating a community of experts in an international, multisite environment
  • Strong sense of customer service
  • Rigor, attention to detail, strong decisionmaking skill
  • Responsiveness and results orientation
  • Proficiency in MS Office application
AXA Partners is committed to diversity and inclusion, on an equal basis.


Join a company that helps protect the forests At AXA Partners, we plant a tree for every new recruit (with a permanent contract).

Learn more about the Reforest Program here

#LI-EN

AXA Group is the world leader in insurance and asset management.

We protect and advise our clients at every step in their lives, by offering products and services which satisfy their needs in the areas of insurance, personal protection, saving and asset management.

AXA is the leading insurance brand worldwide, with over 100 million clients. We are transforming from payer to partner for our client, with a strong focus on risk prevention.

Our mission:
Empower people to live a better life.

Our values:
Customer First, Courage, Integrity and One AXA.


AXA Partners is an AXA transversal business unit offering a wide range of solutions in assistance services, travel insurance and credit protection.

AXA Partners' role is also to implement innovative solutions emerging from the AXA Innovation unit.

Combining passion with advanced expertise, we design and deliver worldwide solutions for partners and communities. We protect what matters, when it matters.

  • Head of Fraud and Complaints F/M

    il y a 4 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    The Fraud and Claims Manager will have a cross-functional role across operations and geographies, working with local representatives to provide guidance and support on complex and sensitive cases or, escalate sensitive cases to management as directed. He/she will work collaboratively with various teams (IT, Operational Excellence, Data Analysis) to improve...

  • Head of International Travel Partnerships

    il y a 3 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    The Head of International Travel Partnerships will play a pivotal and transversal role in strengthening our Global Partnerships franchise along the value chain of business development, with a prime focus on 'market development' and also deep continued involvement during the phases of RFP, Lead Conversion & Delivery until go live. After go live, global...

  • Crisis & Incident Management Program Manager

    il y a 3 semaines

    Malakoff, Île-de-France AXA Group Temps plein

    POSITION DETAILSPosition Title: Crisis and Incident Management Program ManagerDepartment: SecurityLocation: Malakoff, France; Redhill, UK, Barcelona, Spain or Shannon, Ireland POSITION SUMMARYThe ambition of the security organization is to evolve to a business partner role, delivering value to the business while reducing and managing their risk. This by...

  • Operations control expert F/M

    il y a 3 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    As an Operations Controls Expert, you will have a transversal impact on Operations by monitoring expenses and certain controls related to IT security, as well as supporting the efficiency of operational activities through the optimization of existing operational controls and the identification of new controls required.Your main responsibilities will...

  • Business Solutions Manager F/M

    il y a 3 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    We are looking for an experienced Business Solution Manager to lead international projects aimed at developing strategic partnerships and enhancing customer & partner journey within AXA Partners Credit & Lifestyle Protection (CLP). This role involves coordinating complex projects, representing AXA Partners CLP in direct exchanges with external partners, and...

  • Operations Control Lead F/H

    il y a 3 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    As Operations Control Lead, you will have a cross-functional impact on operations to ensure that the company's operations run smoothly and under control. Your role will be to: Develop, implement and maintain the Operational Controls frameworkValidate the effectiveness of Operational ControlsSupport various functions in the design and implementation of their...

  • DCS Operations Analyst

    il y a 1 semaine

    Malakoff, Île-de-France Colt Technology Services Temps plein

    Short DescriptionOpens and governs the problem lifecycle, analyse recurring alarms and incidents and the change lifecycle for Site and Technology teams.Job DescriptionWe're seeking a dynamic and qualified Site Engineer for our hyperscale site PAR1 located at Les Ulis (91).As a Site Engineer (Data Centre Operations), you will support the Site Manager and the...

  • Crisis & Incident Management Program Manager

    il y a 4 semaines

    Malakoff, Île-de-France AXA Partners Temps plein

    POSITION DETAILSPosition Title: Crisis and Incident Management Program ManagerDepartment: SecurityLocation: Malakoff, France; Redhill, UK, Barcelona, Spain or Shannon, Ireland POSITION SUMMARYThe ambition of the security organization is to evolve to a business partner role, delivering value to the business while reducing and managing their risk. This by...

  • Head of Fraud and Complaints F/M

    il y a 4 semaines

    Malakoff, France AXA Group Temps plein

    Le Responsable des fraudes et des réclamations jouera un rôle transversal dans les opérations et les zones géographiques, en travaillant avec les représentants locaux pour fournir des conseils et un soutien sur les cas complexes et sensibles ou pour transmettre les cas sensibles à la direction, selon les instructions. Il travaillera en collaboration...

  • Responsable Fraude et Réclamations F/H

    il y a 4 semaines

    Malakoff, France AXA Group Temps plein

    The Fraud and Claims Manager will have a cross-functional role across operations and geographies, working with local representatives to provide guidance and support on complex and sensitive cases or, escalate sensitive cases to management as directed. He/she will work collaboratively with various teams (IT, Operational Excellence, Data Analysis) to improve...

  • Product Owner Salesforces H/F

    il y a 4 semaines

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • Gestionnaire Client et Administration des ventes IDF H/F

    il y a 4 semaines

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • Commercial Sédentaire CDD 6 mois H/F

    il y a 4 semaines

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • Data Governance Officer

    il y a 4 semaines

    Malakoff, France AXA Group Temps plein

    Data Management is a key component of AXA Partners Data strategy for a sound and sustainable data governance within the organisation. Data Managers, at AXA Partners, are responsible for implementing and ensuring that data management standards and good practises are implemented consistently in their domain of responsibility. They support data management...

  • Architecte solutions H/F

    il y a 2 semaines

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • Senior Finance Analyst

    il y a 4 semaines

    Malakoff, France Zoetis Temps plein

    **The Senior Finance Analyst France & Central Europe **is responsible for preparing the Budgeting, Forecasting, Analysis and Management Reporting activities for designated markets. He/She will work closely with the in-market finance leads and the COE FP&A Sr manager to provide finance support for the commercial business. The Finance Center of Excellence...

  • Senior Operational Excellence Leader F/m

    il y a 7 jours

    Malakoff, France AXA Partners Temps plein

    AXA Partners' Operationnal Excellence team is made up of 4 pillars: process improvement, business performance and steering, workforce management and multi-channel, as well as the people dimension of change (AVP programs: mindset and behaviors, skills enhancement system, roles of managers and agents, etc.). The focus on the company's operational processes...

  • Responsable Programme de gestion des Crises

    il y a 4 semaines

    Malakoff, France AXA Group Temps plein

    POSITION DETAILS Position Title: Crisis and Incident Management Program Manager Department: Security Location: Malakoff, France; Redhill, UK, Barcelona, Spain or Shannon, Ireland POSITION SUMMARY The ambition of the security organization is to evolve to a business partner role, delivering value to the business while reducing and managing their...

  • Référent(e) Contrôles Operationnels F/H

    il y a 3 semaines

    Malakoff, France AXA Group Temps plein

    As Operations Control Lead, you will have a cross-functional impact on operations to ensure that the company's operations run smoothly and under control. Your role will be to:  Develop, implement and maintain the Operational Controls framework Validate the effectiveness of Operational Controls Support various functions in the design and implementation...

  • Poste Préparateur de commande H/F

    il y a 1 semaine

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • DCS Operations Analyst

    il y a 2 semaines

    Malakoff, France Colt Technology Services Temps plein

    Short Description Opens and governs the problem lifecycle, analyse recurring alarms and incidents and the change lifecycle for Site and Technology teams.Job Description We're seeking a dynamic and qualified Site Engineer for our hyperscale site PAR1 located at Les Ulis (91). As a Site Engineer (Data Centre Operations), you will support the Site Manager and...

  • Site Engineer

    il y a 1 semaine

    Malakoff, France Colt Technology Services Temps plein

    Job Description We're seeking a dynamic and qualified Site Engineer for our hyperscale site PAR1 located at Les Ulis (91). As a Site Engineer (Data Centre Operations), you will support the Site Manager and the wider local Ops on site team to achieve and maintain an operationally safe and legally compliant data centre. You will be accountable to ensure...

  • Site Engineer

    il y a 1 semaine

    Malakoff, France Colt Technology Services Temps plein

    Job Description We're seeking a dynamic and qualified Site Engineer for our hyperscale site PAR1 located at Les Ulis (91). As a Site Engineer (Data Centre Operations), you will support the Site Manager and the wider local Ops on site team to achieve and maintain an operationally safe and legally compliant data centre. You will be accountable to...

  • Développeur back end C#

    il y a 3 semaines

    Malakoff, France Frank Recruitment Group Services Ltd Temps plein

    Création d?une nouvelle tribe chez un de mes clients dans le secteur des services aux entreprises - Entre 8-10 ans d?expérience minimum - Strong quality (DDD, Clean code, ) - Craftsmanship profile - Anglais courant - Credible Experience of working within a Tech Product team - Credible Experience of working in an Azure Cloud / Microservices / Kubernetes...

  • Senior Full stack

    il y a 4 semaines

    Malakoff, France Frank Recruitment Group Services Ltd Temps plein

    Création d?une nouvelle tribe chez un de mes clients dans le secteur des services aux entreprises- Entre 8-10 ans d?expérience minimum- Strong quality (DDD, Clean code, )- Craftmanship profile- Anglais courant- Credible Experience of working within a Tech Product team- Credible Experience of working in an Azure Cloud / Microservices / Kubernetes...

  • Stage Juriste Droit Social 6 mois H/F

    il y a 4 semaines

    Malakoff, France Edenred Temps plein

    Take a step forward and let Edenred surprise you. Every day, we deliver innovative solutions to improve the life of millions of people, connecting employees, companies, and merchants all around the world.  We know there are hundred ways for you to grow. With us, you will expand your skills in a multicultural, challenging, and dynamic environment.  ...

  • Chef de projet Data

    il y a 4 semaines

    Malakoff, France AXA Group Temps plein

    Rattaché(e) à la Direction Technique et Data et sous la Responsabilité du Head of Data, vos missions principales seront les suivantes : • Leadership et collaboration : Agir comme un point de contact incontournable en facilitant la communication et promouvant un véritable partenariat entre les métiers et l’équipe Data. • Gestion de produit : En...

  • Senior Full stack

    il y a 4 semaines

    Malakoff, France Frank Recruitment Group Services Ltd Travail à distance Freelance Temps plein

    Création d’une nouvelle tribe chez un de mes clients dans le secteur des services aux entreprises- Entre 8-10 ans d’expérience minimum- Strong quality (DDD, Clean code, )- Craftmanship profile- Anglais courant- Credible Experience of working within a Tech Product team- Credible Experience of working in an Azure Cloud / Microservices / Kubernetes...