Fraud Investigator (Desktop)
Fraud Investigator (Desktop)
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1 Vacancy
Job Description
As a world leader in commercial and personal insurance solutions operating in over 70 countries and jurisdictions AIGs Global Business Operations team identifies and drives high-quality innovation and cost efficiency in all our processes systems and operations. The organization ensures we operate as one globally consistent business delivering end-to-end services locally that contribute to our customers and AIGs success.
Whats the purpose of the role
The Fraud Investigator (Desktop) 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.
How youll make an impact
As an Insurance Fraud Investigator you will be responsible for investigating suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants brokers lawyers medical providers etc to support the Claims organisation.
Ability to manage all aspects of the claims investigation to include analysing facts on issues in question thorough review of interviews and statements of witnesses employers claimants and other relevant witnesses.
Obtaining and preserving physical and documentary evidence to support investigations.
Coordinating necessary investigative techniques and resources such as fieldwork through internal or external field resources cognitive or virtual interviews etc. and ensuring quality is accurate timely and appropriate on all cases.
Producing reports based on evidential findings providing adjusters with the information required to progress the claim as appropriate.
Handling caseload across relevant jurisdictions while ensuring all tasks are completed properly.
Testifying and presenting evidence at administrative and criminal court proceedings as required.
Establishing and maintaining professional working relationships with insureds lawyers corporate employees vendors police and relevant fraud bodies.
Accurately identify and record all financial impact for cases worked in the case management system
Assisting 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.
What youll need to succeed
- Knowledge of criminal and civil justice systems
- Ability to manage workflow to create and pursue leads that would support a fraud case
- Ability to work to tight timelines when necessary
- Demonstrable investigative-related experience essential preferably in an insurance claims dept
- Experience of utilising automated fraud detection tools to mitigate fraud in both claims and underwriting (desirable).
- PC skills and experience with various database search systems
- Understanding of Data Protection Act and other compliance legislation
At AIG we value in-person collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.
Enjoy benefits that take care of what matters
At AIG our people are our greatest asset. We know how important it is to protect and invest in whats most important to you. That is why we created our Total Rewards Program a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family.
Reimagining insurance to make a bigger difference to the world
American International Group Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks. It is an exciting time to join us across our operations we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG you can go further to support individuals businesses and communities helping them to manage risk respond to times of uncertainty and discover new potential. We invest in our largest asset our people through continuous learning and development in a culture that celebrates everyone for who they are and what they want to become.
Welcome to a culture of inclusion
Were committed to creating a culture that truly respects and celebrates each others talents backgrounds cultures opinions and goals. We foster a culture of inclusion and belonging through learning cultural awareness activities and Employee Resource Groups (ERGs). With global chapters ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIGs greatest assets and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
AIG provides equal opportunity to all qualified individuals regardless of race color religion age gender gender expression national origin veteran status disability or any other legally protected categories.
AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation please send an email to .
Functional Area:
Employment Type
Full-Time
