Fraud Claims Operations Representative Jobs in Decatur, GA

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Technical Oversight Director, Workers' Compensation Oversight to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team.

Make your mark in Claims

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. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

How you will create an impact

The Technical Oversight Director provides strategic and technical leadership for Workers' Compensation Third-Party Administrator (TPA) Oversight operations. This role partners with Claims, Legal, Finance, Regulatory, and TPA stakeholders to improve claim outcomes, control costs, ensure reserve adequacy, enhance litigation oversight, drive operational excellence, and support organizational development. They will demonstrate:

Financial Leadership

• Drive claim cost reduction through oversight of indemnity, medical, and legal expenses.
• Lead Reserve Roundtables and support reserve adequacy reviews consistent with AIG reserving philosophy.
• Partner with TPAs, Claims, and Regulatory teams to improve outcomes and resolve performance issues.
• Support claim overflow management and quality claim handling practices.
• Monitor claim trends, cost drivers, and payment activity to improve financial performance.

Strategic Leadership

• Serve as a subject matter expert on claims systems, reporting, data integrity, and operational processes.
• Support account closeouts, special projects, and stakeholder reporting needs.
• Provide litigation oversight through legal trend analysis, counsel management, and legal process administration.
• Coordinate onboarding, training, and technical development initiatives for analysts and team members.
• Develop and implement claims procedures and best practices.

Organizational Leadership

• Promote employee development, training completion, and technical knowledge sharing.
• Lead process improvement initiatives and strategic projects that enhance operational effectiveness.
• Build strong relationships with TPAs, clients, brokers, and internal stakeholders.
• Deliver exceptional customer service and support business objectives through collaboration and responsiveness.

Operational Excellence

• Oversee Fusion payment management and aging invoice resolution.
• Partner with Financial Operations and Claims teams to improve payment accuracy and efficiency.
• Monitor operational metrics and implement process improvements to support service excellence.

Fraud Awareness & Risk Management

• Identify fraud indicators and emerging claim-related risks.
• Collaborate with Claims, TPAs, and Governance teams to monitor trends and escalate concerns.
• Support risk mitigation efforts and promote fraud awareness.

Professional Development

• Expand expertise in Workers' Compensation Oversight operations, claims management, and business processes.
• Pursue ongoing leadership and technical development opportunities.
• Demonstrate readiness for expanded leadership and client-facing responsibilities.

AIG Values & Ethical Leadership

• Demonstrate integrity, accountability, and respect in all interactions.
• Foster a culture of transparency, collaboration, and open communication.
• Encourage the use of the "Raise Your Hand" process to identify risks and opportunities for improvement.
• Promote employee engagement and support a positive team environment.

What you will need to succeed

• Extensive Workers' Compensation claims and TPA oversight experience.
• Strong knowledge of reserving, litigation management, claims operations, and analytics.
• Proven leadership, stakeholder management, and process improvement skills.
• Strong analytical, communication, and project management capabilities.
• Experience with claims management systems, RMIS platforms, and reporting tools.

Ready to make a bigger impact? We look forward to reviewing your application.

Compensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview.

#LI-AIG

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.

Welcome to a culture of inclusion

We're 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 learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

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.

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.