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Program Manager, Internships - Toronto, Canada - Société Financière Manuvie
Description
Nous sommes un fournisseur de services financiers qui s'emploie à faciliter les décisions de nos clients et de nos collègues partout dans le monde et à les aider à vivre mieux.
The Risk Management Department is a diverse and dynamic team delivering a broad range of services in support of key operational objectives.
Our responsibilities include Digital Claims Risk Management, Abuse Management and Monitoring Programs, Fraud Investigations, Technical Support, Analytics, and Claims Experience Management.
The effective management of Health and Dental claims experience is imperative to the success of the Group Benefits Operations.A key focus of the Program Manager, Investigation Services is accountability for managing fraud and abuse for our Drug and Dental benefits and innovating relative programs to match future needs.
Lead teams of anti-fraud professionals to prevent, detect, investigate and deter fraud and abuse Create high performance teams by providing staff with continuous development and mentoring, and opportunities for them to build on their investigation capabilities Develop and deliver anti-fraud programs in compliance with Manulife's Fraud policy, regulators' expectations (e.g. Manage investigation service levels and prioritizes dental and drug program tips and alerts and lead the development of investigation and communication plans for dialogue and negotiation with service providers Monitor and build on analytical controls for effective identification of actionable cases and identify weaknesses and gaps to close for ongoing effective fraud risk management Identify new and emerging risks to Group Benefits and Affinity business lines and drive requirements (e.g. fraud analytics and tools) and tactics to proactively address and mitigate financial and reputational risks thereby minimizing negative impact to Manulife, our customers, and shareholders Influence or direct appropriate actions on fraud cases including pursuing recovery of payments, regulatory complaints, criminal complaints, civil actions and client communications, through employing a strong understanding of the criminal, civil, legal, and compliance/privacy framework and considering customer expectations Provide leadership on complex, escalated cases involving significant legal, privacy, and reputational risk and ensure that proper legal and compliance advice is sought, that appropriate senior management is kept informed, and that appropriate decisions are made.Provide Group Benefits with expert fraud risk advice related to new products and services, product changes, legislative changes and emerging fraud schemes.
~ Promote fraud awareness externally with our Plan Sponsors, Advisors, and Consultants, and internally through the development and delivery of awareness modules to internal Group Benefits and Affinity staff.
Lead client meetings addressing sensitive audit and investigations with Plan Sponsors and support client requests through our Regional Group Offices and Customer Service Centres Manage expenses within the approved budget Lead the continued development of the investigative model to manage high-risk providers and suspicious transactions and support analytics staff with the continuous development and enhancement of Fraud Data Analytics addressing existing, new, and emerging risk Perform risk assessments, develop risk-mitigating strategies and deliver controls to protect the benefits investment of our clients Understand and maintain current knowledge of audit and investigative techniques, tools, software and technology Work with key stakeholders including dental and pharmaceutical provider associations and colleges, government bodies and law enforcement; Assist in protecting and preserving Group Benefits market place competitive advantages through ongoing enhancement of fraud prevention program activities Lead or participate in industry anti-fraud and related working groups representing the interests of both our customers and shareholders with the goal of mitigating fraud, waste, and abuse Develop communication material for external and internal publications, clients' newsletters, provider education and fraud presentations.
Prepare internal and external reports on program activities, fraud risk exposure and program outcomes The Program Manager, Investigation Services is responsible for:leading teams of anti-fraud specialists to mitigate, investigate and deter fraud and abuse; executing anti-fraud programs to support new business strategies, providing leadership and advice to a variety of business lines including Group Benefits and Affinity; supporting our Regional Offices, Plan Sponsors, and Customers, and developing and delivering fraud risk presentations.
This role leads or supports industry anti-fraud working groups, seeks opportunities to foster Plan Sponsor and member fraud awareness through presentations and other communication vehicles, and has accountability for building fraud awareness within Manulife Group Benefits.
The Manager monitors financial, legal and reputational risk and works with Legal, Compliance, RGO and others to resolve complex and sensitive issues.
This role reports to the Director, Fraud & Investigation, and helps to protect plan sponsors and members from the negative impacts of claims fraud.
This role is focused on dental and pharmaceutical claim risk mitigation, which is a key part of the foundation for our investigation programs and a vital part of claims risk management.
You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.You share your humanity, helping us build a diverse and inclusive work environment for everyone Bachelor's degree in related field, a formal fraud designation, preferably a Certified Fraud Examiner (CFE) and between 5 to 10 years of experience in the financial services industry with at least 5 years in a risk management role and a commitment to continuing education Relationship management skills in dealing with internal business units and staff at all levels and external parties including industry associations, competitors, regulators, external auditors, third-party payors, plan sponsors, members, providers, and sales industry participants.
Excellent understanding of Canadian criminal and civil law, and overall compliance, privacy and legal framework.Sound knowledge of Manulife's business activities, policies, products and strategies Strong analytical skills and advanced working knowledge of Excel, Word and PowerPoint Demonstrated knowledge of formal forensic and investigative techniques Ability to stay calm in a fast-paced environment and manage conflicting priorities within tight deadlines Strong management skills to coach, mentor, and develop individuals and lead teams to deliver on core objectives A motivator who can inspire and empower teams to achieve high performance and create a continual high-performance environment Flexible work policies and strong work-life balance.
We create opportunities to learn and grow at every stage of your career. We invite you to help redefine the future of financial services.Delivering the promise of Diversity, Equity and Inclusion:
We foster an inclusive workplace where everyone thrives
Championing Corporate Citizenship:
We build a business that benefits all stakeholders and has a positive social and environmental impact.
#John Hancock est une unité de la Société Financière Manuvie, un groupe mondial et chef de file des services financiers qui aide les gens à prendre plus facilement des décisions et à vivre mieux.
Nous proposons des conseils financiers ainsi que des solutions d'assurance et de gestion de patrimoine et d'actifs à des particuliers, à des groupes et à des institutions.
Au 30 juin 2021, l'actif géré et administré par Manuvie et ses filiales se chiffrait à 1 300 milliards de dollars canadiens milliards de dollars américains).Vous pouvez consulter le site de Manuvie à l'adresse manuvie.00 CAD - $117,250.00 CAD Si vous posez votre candidature à ce poste en dehors de la région principale, veuillez écrire à .Le salaire varie en fonction des conditions du marché local, de la géographie et de facteurs pertinents liés au poste telles les connaissances, les compétences, les qualifications, l'expérience et l'éducation ou la formation.
Nous proposons également aux employés admissibles différents régimes d'épargne-retraite (y compris des régimes de rente et un programme international d'actionnariat assortie de cotisations patronales de contrepartie) ainsi que des ressources en matière d'éducation et de conseils financiers.
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