Claims Fraud Investigator

2 months ago

Toronto, Ontario, Canada AIG Full time
Claims Fraud Investigator Role

AIG is seeking a skilled Claims Fraud Investigator to play a critical role in our team. As a Claims Fraud Investigator, you will be responsible for investigating medium-to-high complexity suspicious insurance claims or suspicious insurance-related activities.

Key Responsibilities:
  • Conduct thorough investigations to identify and mitigate fraud risks to AIG.
  • Collaborate with claims adjusters to progress claims and ensure accurate and timely reporting.
  • Develop and implement investigation plans, identify relevant enquiries, and report findings.
  • Provide expert knowledge and assistance to the claims organization to minimize fraud risk.
  • Testify and present evidence at administrative and criminal court proceedings as required.
  • Establish and maintain professional 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.
  • Accurately identify and record financial impact for cases worked in the case management system.
  • Assist GIS and local management 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.
Requirements:
  • 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.
About AIG

AIG is a global leader in commercial and personal insurance solutions. We are committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions, and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities, and Employee Resource Groups (ERGs).

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.

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