Fraud Investigator
3 semanas atrás
At AIG, we are reimagining the way we help customers to manage risk. Join us as a Fraud Investigator to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team.
Who we are
American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions.
Get to know the business
AIG is seeking a Fraud Investigator to join the Global Investigative Services ("GIS") team in our Iberia Cluster in Lisbon Office. As a Fraud Investigator, you will be responsible for all aspects of the investigation process, including the creation of investigation plans, identification and assignment of relevant inquiries, desk and field investigations, and reporting of findings. You will support claims handlers in the processing of claims and use your knowledge and experience to ensure that the risk of insurance fraud and abuse is minimized for AIG.
The investigative work may require travel, depending on the location of the conduct at issue. This position will report to the Cluster Fraud Manager for Iberia. The candidate will be responsible for most Portuguese fraud-related tasks and available to participate in Spanish-related ones.
How you will create an impact
Work closely with the GIS team to execute investigations with a moderate level of supervision.
Assist in fact-finding and investigative interviews of key subjects. Prepare succinct interview memos summarizing the topics discussed, findings, and other observations.
Perform email reviews to identify evidence of fraud and corroborate information uncovered during the investigative process. Summarize and present the results of the investigations to management and stakeholders.
Draft reports detailing work performed and conclusions reached that require minimal editing and provide a clear message to ensure client understanding and suggestions for corrective action.
Ability to concurrently work on multiple projects, participate in assignments in a team environment, and consistently meet deadlines.
Possess strong analytical skills to identify audit risks, fraud risks, investigative concerns, and appropriate testing or investigative procedures.
Demonstrated ability to maintain the confidentiality of information and identities.
Review assigned claim files to determine if fraud risk is feasible by investigating and evaluating issues according to best practice/procedural guidelines.
Coordinate investigations with expert witnesses to review the adequacy of the investigation conducted by claims personnel.
Research, understand, and apply state laws that relate to each file.
Forecast potential fraud risk thresholds and update the drivers as needed.
Provide customer service assistance to outside organizations and AIG Claim Operation management.
Prepare for and attend mediations or pretrial sessions.
Establish and maintain professional working relationships with insureds, claimants, witnesses, lawyers, and corporate employees.
Develop and maintain good relationships with internal clients.
Identify, create, and complete fraud awareness training for various lines of business as requested.
Accurately identify and record all financial impacts for cases worked in the fraud case management system.
Assist the Claims & Fraud management as appropriate in ensuring key deliverables and business objectives are met.
Awareness of and adherence to GDPR regulations and local laws regarding techniques used for information gathering.
Participate in training by providing information as a subject matter expert as requested.
Support leadership team and stakeholders on result reporting.
Work in partnership with clients and colleagues to contribute to AIG's success.
What you'll need to succeed
Proficiency in Portuguese is required, and a strong knowledge of Spanish and English is highly desired.
B.S. / B.A. degree in Law, Business Administration, or other relevant fields.
Strong experience in corporate/financial investigations is desired.
Strong knowledge of complex claims scenarios across all Lines of Business, including Accident & Health, Automobile, Financial Lines, and Specialty.
Possess knowledge of financial and operational controls, as well as an understanding of internal auditing standards and risk-assessment practices.
Strong organizational skills, attention to detail, and proven ability to effectively prioritize initiatives to meet expectations.
Proficient in MS Office: Excel, Word, Access & PowerPoint.
Good verbal, written, and presentation skills are essential.
Demonstrated ability to manage and prioritize case load with limited supervision.
Willingness to travel: up to 25% annually.
We also offer a range of learning opportunities to help hone professional skills and speed career development, and we have hybrid working.
Ready to take your career to the next level? We would love to hear from you.
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