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AIG

Underwrites insurance for businesses and individuals

SIU Claims Investigator

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeAtlanta, GA, USANo salary listed

About the Job

Requirements

  • A college degree or equivalent work experience is preferred.
  • Advanced knowledge of criminal and civil justice systems and relevant data and compliance legislation.
  • Excellent oral and written communication skills and thorough working knowledge of Microsoft Office applications.
  • An understanding of local customs, insurance markets, and languages is desired.
  • Ability to manage workflow to identify and pursue leads that support a fraud case.
  • Ability to work to tight timelines when necessary.
  • Advanced working knowledge of investigating General Insurance Consumer and Personal Lines is a plus.
  • Ability to analyze complex data sets to assess trends and identify opportunities to drive improvements.
  • PC skills and experience with database search systems, the internet, and social networking for investigative purposes.

Responsibilities

  • Manage all aspects of claims investigations, including analyzing facts on issues in question and thoroughly reviewing interviews and statements from witnesses, employers, claimants, and other relevant witnesses.
  • Gather facts through open-ended interviewing and statement-taking of witnesses, employers, claimants, and other relevant witnesses.
  • Prepare objective and concise written investigation reports when necessary.
  • Identify, create, and complete fraud training for various lines of business supported by AIG.
  • Complete focused claims reviews for all lines of business domestically as assigned, including analysis, documentation of results, and suggestions for improvement.
  • Assist the team with ad hoc duties, projects, and other assignments delegated by managers or leaders.
  • Obtain and preserve physical and documentary evidence to support investigations.
  • Coordinate investigative techniques and resources, including fieldwork through internal or external resources and interviews, ensuring case quality is accurate, timely, and appropriate.
  • Handle a full caseload of primarily high-complexity investigations, including organized ring activity, provider fraud, premium avoidance, and other major cases across relevant jurisdictions.
  • 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.
  • Accurately identify and record the financial impact of cases in the case management system.
  • Assist GIS and local management in meeting key deliverables and business objectives as appropriate.
  • Adhere to local laws regarding information-gathering techniques in the countries where operating.
  • Provide intelligence feedback to claims and underwriting departments regarding loss trends and opportunities for future fraud mitigation.

Desired Qualifications

  • An understanding of local customs, insurance markets, and languages.
  • Advanced working knowledge of investigating General Insurance Consumer and Personal Lines.

About the Company

AIG

Underwrites insurance for businesses and individuals

AIG underwrites property and casualty insurance for businesses and individuals, covering losses from damaged assets, legal claims and personal accidents. Its commercial policies span risks such as cyberattacks, shipping losses and aviation accidents, while personal coverage includes accident and health insurance and protection for valuable homes. Brokers and agents connect clients with insurers that assess risks, set premiums and handle claims under each policy's terms. The group earns insurance premiums and investment income on assets held to meet future claims. Its operating roots date to Shanghai in 1919, and its headquarters are in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1919

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