Claims Fraud Investigator

2 weeks ago


Toronto, Ontario, Canada AIG Full time
Job Title: Claims Fraud Investigator

At AIG, we are reimagining the way we help customers to manage risk. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.

Key Responsibilities:

  • Investigate medium-to-high complexity suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, brokers, lawyers, medical providers, etc.
  • 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.
  • Handle caseload 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.
  • 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.

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.

AIG is 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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