Fraud Investigator

At AIG, we are reimagining the way we help customers to manage risk. Join us as an 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. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security.
Get to know the business
The Fraud Investigator is responsible for conducting fraud related investigations on claims which have been identified as having potentially fraudulent activity, as well as interacting externally with state and/or federal agencies during the litigation and prosecution of appropriate fraud activities. Being one of the main contacts for Country related stakeholders.
How you will create an impact
Work closely with GIG team to execute investigations and special reviews with a moderate level of supervision (relevant to the years of experience).
Draft reports detailing work performed and conclusions reached that require mínimal editing and provide a clear message to ensure client understanding and suggestion for corrective action.
Ability to concurrently work on multiple projects, participates in assignments in a team environment, and consistently meets 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.
Under moderate supervision, identifies and pursues fraud awareness at multiple Lines of Business and Products including related third parties who are wholly responsible or share liability for damages paid to claimants by AIG. Typical responsibilities include but are not limited to the following:
Review assigned claim files to determine if fraud risk is feasible by investigating and evaluating issues according to a Best Practice/Procedural guidelines.
Coordinate investigations with expert witnesses to review the adequacy of the investigation conducted by claims personnel.
Corresponds with appropriate parties (experts, attorney’s, claims professionals) in accordance with established procedures regarding claim information, notice/demand of related issues.
Forecasts potential “fraud risk threshold”, overview and update the drivers as needed.
Provides customer service assistance to outside organizations and AIG Claim Operation management.
Prepares for and attends mediations or pretrial sessions.
Establishing and maintaining professional working relationships with insured’s, claimants, witnesses, lawyers, corporate employees.
Develop and maintain good relationships with internal clients.
Identify, create, and complete fraud awareness training for various lines of business as requested by your manager and stakeholders.
Accurately identify and record all financial impact for cases worked in the fraud case management system.
Assisting 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 in countries where operating.
Completing targeted claims reviews for all lines of business within AIG as assigned. This includes analysis, documentation of results and suggestions for improvement.
Support leadership team and stakeholder on result reporting.
Work in partnership with clients and colleagues to contribute to the 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 degrees.
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. Ability to present complex and sensitive issues to different levels of senior management.
Think in a creative and innovative manner.
Demonstrated ability to manage and prioritize case load with limited supervision.
Demonstrated ability in time management and establishing priorities.
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