Triage Analyst
American International Group - Houston, TX

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The primary responsibilities of the Triage Analyst are:
  • To collect basic information related to all manual and automatic referrals
  • To conduct a thorough analysis of all incoming suspicious claims referrals.
  • To make the determination if referrals meet established requirements, and should be sent to the investigative team.
  • To conduct segmentation of accepted referrals by type of investigation required and complexity.
  • To provide coaching and feeback to adjusting and claims management personnel on the quality of referrals.
  • To track metrics and evaluate trends in metrics to be shared with senior management.
  • To evaluate quality of automated referrals and propose adjustments to critera to improve quality of those referrals.
Position Requirements

Leadership:
  • Ability to drive anti-fraud program initiatives for claims operations within assigned region of responsibility.
  • Ability to interact with and brief regional management
Technical skills and Abilities:
  • Exceptional verbal and written communication skills
  • Thorough understanding of insurance and claims processes.
  • Strong working knowledge of insurance or fraud investigations (multi-lines a plus)
  • Experience with claims management, case managment and desk investigative search tools.

American International Group - 16 months ago - save job - block
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Even to this day American International Group (AIG) is one of the world's largest insurance firms. While it held the spotlight...