Principal Claims Investigator at AIG

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

College degree preferred or equivalent
Awareness of, and adherence to, local laws regarding techniques used for information gathering in countries where operating

Responsibilities

Responsible for all aspects of the investigation process including creation of investigation plans, identification and assignment of relevant enquiries, and reporting on findings
Provide assistance to the claims adjuster in progressing the claim and leverage knowledge and expertise to minimize fraud risk to AIG
Investigate high complexity suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims organization
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., 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, including 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, including analyzing facts on issues in question and thorough review of interviews and statements of witnesses, employers, claimants, and other relevant witnesses
Gather facts on issues in question 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, including analysis, documentation of results, and suggestions for improvement
Assist team on ad-hoc duties, projects, and other assignments delegated by Managers/Leaders

Skills

Claims Investigation

Fraud Investigation

Investigation Planning

Evidence Preservation

Fieldwork Coordination

Interviews

Testimony

High Complexity Cases

Provider Fraud

Organized Ring Activity

AIG

Global insurance provider for individuals and businesses

About AIG

AIG provides a variety of insurance products and services aimed at individuals, families, and businesses. Their offerings include life insurance, retirement planning, and commercial insurance, which help clients manage risk and protect their assets. AIG operates by underwriting insurance policies and managing risk, while also investing the premiums collected to generate income. This company stands out from competitors by not only focusing on traditional insurance but also emphasizing cybersecurity and data protection to keep clients' information safe. AIG's goal is to help clients achieve financial security and peace of mind through comprehensive insurance solutions.

New York City, New YorkHeadquarters

1919Year Founded

IPOCompany Stage

Cybersecurity, Financial ServicesIndustries

10,001+Employees

Benefits

Health, dental, & vision coverage

Flexible Spending Accounts (FSA)

401(k)

PTO

Commuter Expense Reimbursement Account

Risks

Sale of personal travel business may reduce AIG's market presence in travel insurance.

Expansion in Atlanta could pose financial risks if expected growth does not materialize.

Deconsolidation of Corebridge Financial might lead to loss of synergies and increased costs.

Differentiation

AIG offers a wide range of insurance products globally, serving diverse client needs.

Corebridge Financial, a subsidiary, enhances AIG's offerings in retirement planning and financial futures.

AIG emphasizes cybersecurity and data protection, ensuring clients' information remains secure.

Upsides

AI adoption in underwriting and claims processing enhances efficiency and reduces costs for AIG.

InsurTech partnerships offer AIG opportunities to enhance digital capabilities and drive innovation.

Telematics and usage-based insurance allow AIG to offer personalized and flexible products.

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