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Fraud and Recovery TPA Specialist

1 month ago

Atlanta, Georgia, United States AIG Full time

pbRoleOverview/b/ppWeareseekingahighlyskilledFraudandRecoveryTPAAnalysttojoinourteamatAIG.AsakeymemberofourClaimsTPAandGovernanceteam,youwillplayacriticalroleindevelopingandmaintainingastandardprocedureforTPAreviewsinNorthAmerica./ppbKeyResponsibilities/b/pulliUnderstandtheNAMTPAlandscape,specificallythosecarryingoutRecoveryandFraudworkitems./liliDefinekeymetricsandkeyperformanceindicatorstotrackandreviewtheTPAsagainstforFraudandRecoveryworkitems./liliTakeownershipandresponsibilityoftheongoingTPAreviewsinNorthAmericaandworkwiththeInternationalteamtobuildarepeatableprocesstailoredtotheregions./liliCarryoutongoingTPAquality,performanceandexpensecontrolreviewsacrosstheNAMTPAlandscape./liliReportbacktoFraud&RecoveryCOE,aswellasClaimsLeadershiponprogress,anyrisks/issuesandnextstepsonaregularbasis./liliCreateandmaintainadetailedTPAtracker./liliBeproactiveinidentifyingareasofimprovementoranticipatingworkthatneedstobecompleted./liliDefinecontractualrequirementsandexpectationswithnewTPAstosupporttheFraud&RecoveryTPAgoals./liliSupportinthewiderexecutionoftheGlobalandInternationalstrategicinitiativestoensureweembedchangebothwithinourorganizationandalsowithourpartnerorganizations./liliDevelopstrongstakeholderengagementandcommunicationwithafocusoncollaborationacrossthewholeoftheoperationsteamandwiderclaimsteam./liliSupporteffectiveclaimsbusinessreportingincludingmonthlyandquarterlybusinessreviews./li/ulpbRequirements/b/pulliThesuccessfulcandidatewillhavestrongorganizationalskills,anabilitytounderstandandcomprehendnewtopicsquickly,andapro-activeselfstarter./liliExperiencewithVendorandTPAmanagementandreview./liliAcandidatewhoiscomfortablehandlinglargeamountsofdataandreviewingthedetail./liliAcandidatewhoiscomfortablewithhavingvendor/customerdiscussions,includingprovingfeedbackandperformanceconversations./liliAgoodallrounderwhoiswillingtolearnnewskillsandtakeonchallengesastheyarise./liliTheindividualwouldalsoneedtodemonstrateastrongunderstandingoftheclaims,recoveryandfraudprocess./lili5+yearsofexperiencewithinTPA/Vendormanagementideallyininsurance./liliUnderstandingofthetypical/standardFraudandRecoveryKPIsorindicators./liliStrongadministrationskillsandsomeexamplesofwhereprojectdelivery,hasbeencompleted./liliAnalyticalexperiencetoseetrendsandinsights./liliExcellentcommunicationskills,forbothexternalandinternalstakeholders./liliTheabilitytounderstandandaskquestionsaroundbusinessissues./liliExperienceofprojectdeliveryorconsultingexperiencepreferred./liliProactiveselfstarter./liliAbilitytosynthesis./liliGoodattentiontodetail./liliExperiencewithAccess,Word,Excel,PowerPoint,andSharePoint./li/ul