Complex Claims Examiner

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

General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network.

About the role

What you need to know:
As an influencer at AIG, people come to you as a “go-to” source for help and support because of your deep knowledge and expertise. As a more experienced team member, you are capable of driving continual improvement and impacting the way that things get done. Because of your influence, whether direct or indirect, we are able to deliver powerful outcomes for our clients.

Functional Responsibilities
- Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
- Ensuring effective vendor and litigation management on Complex claims within a personal allocation
- Broader internal / external stakeholder communication where required
- Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
- Contribute to maintenance of best practice procedures for A&H intermediate to high value Complex claims, consistent with global best practice
- Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex claims in A&H.
- Manage Third Party Administrators to ensure that they adhere to the claims handling guidelines and meet the agreed deliverables. This would include conducting audits and checks. Provide technical advice to Shared Services.
- Any other projects/tasks which may be assigned to you from time to time.

Accountabilities
- Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
- Effective communication of key advanced Complex claims and A&H portfolio messages to internal stakeholders.
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation

What we’re looking for:

- Degree holder or equivalent with relevant experience
- Holds BCP, PGI and HI
- Intermediate specialist knowledge in A&H technical claims topics
- Policy language skills enabling accurate and consistent policy wording interpretation
- A basic knowledge of legal / regulatory and litigation / procedural requirements for their line of business
- Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement
- Good communication skills, both written & verbal
- Time management - ability to manage & prioritise workload and diary management
- Ability to contribute effectively within a team environment.
- Ability to work with claims stakeholders to effectively direct claims strategy.

LI-LY1

We're proud to offer a range of employee benefits and resources that help you protect what matters most - your health care, savings, financial protection and wellbeing. We provide a variety of leaves for personal, health, family and military needs. For example, our "Giving Back" program allows you to take up to 24 hours a year to volunteer in your community. Our global mental health and wellness days off provide all colleagues with a paid day off to focus on their mental health and wellbeing.

We also believe in fostering our colleagues' development and offer a range of learning opportunities for colleagues to hone their professional skills to position themselves for the next steps of their careers. We have a tuition reimbursement program for eligible colleagues to enhance their education, skills, and knowledge in areas that relate to their current position or future positions to which they may transfer or progress.

We are an Equal Opportunity Employer

American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment. We provide 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 such as sexual orientation