Insurance investigator Jobs in North York, ON

At AIG, we are reimagining the way we help customers to manage risk. Join us as a

• Senior Claims 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.
• 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. and ensuring quality is accurate, timely and appropriate on all cases.
• Handle a full caseload of primarily high complexity investigations including organized ring activity, provider fraud, premium avoidance, and other major case investigations 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. This includes analysis, documentation of results and suggestions for improvement.
• 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.
• Awareness of, and adherence to, local laws regarding techniques used for information gathering in countries where operating.
• Provide intelligence feedback to claims and underwriting departments regarding loss trends and opportunities for future fraud mitigation.
• Dedicated lead / liaison between internal and external support functions. Provide oversight, training, support, and management of daily activities to include reporting and analytics.
• Manage all aspects of the claims investigation, to include analyzing facts on issues in question, thorough review of interviews and statements of witnesses, employers, claimants and other relevant witnesses.
• Gather facts on issues in questions through open-ended interviewing and statement taking of witnesses, employers, claimants, and other relevant witnesses.
• Prepare objective and concise written reports of investigations when necessary.
• Identify, create, and complete fraud training for various lines of business supported by AIG.
• Serve as Subject Matter Expert (SME) on one or more fraud related topics or line of business.
• Complete focused claims reviews for all lines of business within AIG domestically as assigned. This includes analysis, documentation of results and suggestions for improvement.
• Assist team on ad-hoc duties, projects, and other assignments delegated by Managers / Leaders.
• 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
• PC skills and experience with various database search systems, internet, and social networking for investigative purposes.

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