Senior Claims Investigator

The Senior Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise to ensure that the fraud risk to AIG is minimized.

• 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.
• 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.

• 401k matching
• Health insurance
• Flight privileges

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.