American International Group
At AIG, we are reimagining the way we help customers to manage risk. Join us as a **Senior Claims Investigator** to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.* Obtain and preserve physical and documentary evidence to support investigations.* Coordinate necessary investigative techniques and resources, such as fieldwork through internal or external field resources, interviews, etc. and ensuring quality is accurate, timely and appropriate on all cases.* Handle a full caseload of primarily high complexity investigations including organized ring activity, provider fraud, premium avoidance, and other major case investigations across relevant jurisdictions while ensuring all tasks are completed properly.* Testify and present evidence at administrative and criminal court proceedings as required.* Establish and maintain professional working relationships with insureds, lawyers, corporate employees, vendors, police and relevant fraud bodies.* Complete targeted claims reviews for all lines of business within AIG as assigned. This includes analysis, documentation of results and suggestions for improvement.* Accurately identify and record all financial impact for cases worked in the case management system.* Assist GIS and local management as appropriate in ensuring key deliverables and business objectives are met.* Awareness of, and adherence to, local laws regarding techniques used for information gathering in countries where operating.* Provide intelligence feedback to claims and underwriting departments regarding loss trends and opportunities for future fraud mitigation.* Dedicated lead/liaison between internal and external support functions. Provide oversight, training, support, and management of daily activities to include reporting and analytics.* Manage all aspects of the claims investigation, to include analyzing facts on issues in question, thorough review of interviews and statements of witnesses, employers, claimants and other relevant witnesses.* Gather facts on issues in questions through open-ended interviewing and statement taking of witnesses, employers, claimants, and other relevant witnesses.* Prepare objective and concise written reports of investigations when necessary.* Identify, create, and complete fraud training for various lines of business supported by AIG.* Serve as Subject Matter Expert (SME) on one or more fraud related topics or line of business.* Complete focused claims reviews for all lines of business within AIG domestically as assigned. This includes analysis, documentation of results and suggestions for improvement.* Assist team on ad-hoc duties, projects, and other assignments delegated by Managers/Leaders.* College degree preferred or equivalent work experience.* Advanced knowledge of criminal and civil justice systems and relevant data and compliance legislations* Excellent oral and written communication skills and thorough working knowledge of MS Office applications.* An understanding of local customs, insurance markets and languages is desired.* Ability to manage workflow to identify and pursue leads that would support a fraud case.* Ability to work to tight timelines when necessary* Advanced working knowledge in investigating General Insurance Consumer & Personal Lines of insurance a plus* Ability to analyze complex data sets to assess trends and identify opportunities to drive improvements* PC skills and experience with various database search systems, internet, and social networking for investigative purposes.
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