Director, Fraud, Waste, and Abuse

2 days ago

Kuala Lumpur, Kuala Lumpur, Malaysia Control Risks Full time 120,000 - 240,000 per year

Control Risks is partnering with a key client, a highly recognisable brand in the insurance industry, to recruit and embed an experienced FWA (Fraud, Waste, and Abuse) professional who will oversee the client's 2nd line of defence as it relates to FWA.

This role will commence with a 6 or 12 month fixed-term contract and will have good opportunity to become permanent for the successful candidate. The role can be based in Kuala Lumpur, Bangalore, or in Hong Kong.

To be considered for this role, candidates will need to have genuine subject matter expertise in at least one of healthcare, agency, or procurement fraud, and ideally have secondary skills in AML, sanctions, or TPRM. You'll have strong English-language written communication skills, and the ability to work autonomously.

Responsibilities:

  • Key role in the development of the global FWA strategy, ensuring alignment with regulatory expectations and business objectives.
  • Works with Group health on the implementation of the Group FWA framework, resulting controls, MI and reporting.
  • Establish and maintain policies, standards, and procedures for fraud risk management across all lines of business.
  • Provide regular reporting to senior leadership and governance bodies on fraud trends, incidents, and mitigation efforts.
  • Oversee fraud risk assessments and control testing across agency, claims, procurement, internal operations, and external threats.
  • Monitor emerging fraud typologies and adapt controls and strategies accordingly.
  • Drive the adoption of proactive detection techniques within the business units including the use of data analytics, AI, and machine learning to enhance fraud detection and prevention capabilities.
  • Develop and deliver targeted training programs to raise fraud awareness across the organization.
  • Promote a culture of integrity, ethical conduct, and accountability.
  • Support business units in the mitigation and remediation of complex fraud risks and issues.
  • Work closely with local business unit fraud teams to ensure consistent implementation of global standards.
  • Support internal audit and compliance reviews related to fraud risk.
  • Proactively raises FWA awareness.
Requirements
  • At least 10 years of related experience within Fraud Risk Management gained within the insurance industry or a related sector.
  • Subject matter expertise in at least one of healthcare, agency, or procurement fraud.
  • Secondary skills in AML, sanctions, or TPRM will be well regarded.
  • Excellent communication and inter-personal skills, with the ability to build posituve and influential relationships with stakeholders across an organisation.
  • Strong English-language written communication skills.
  • Ability to think strategically and apply creative solutions.
  • Self-driven with the ability to work autonomously and without supervision.

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