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Senior Investigator
Senior InvestigatorAmerican International Group • Dallas, GA, US
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Senior Investigator

Senior Investigator

American International Group • Dallas, GA, US
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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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Senior Investigator • Dallas, GA, US