
Senior Complex Claims Examiner
2 weeks ago
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:
- 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
- Reporting key claims messages to their Team Manager and to internal stakeholders
- Broader internal / external stakeholder communication where required as Auto Technical Claims Expert
- Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
- Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes
- Ensure adherence to best practice procedures for Auto Complex claims, consistent with global best practice.
- Delivery of technical training to colleagues and external contacts as appropriate
- Handle higher level of complexity claims, complex losses within authority limits
- Any other projects/tasks which may be assigned to you from time to time.
- Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense
- Effective communication of key advanced Complex Claims and Auto Claims portfolio messages to internal stakeholders.
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation
- Attain objectives for assigned projects
- Benchmarks for claims processing and file closure
What we’re looking for:
- Bachelor’s Degree or equivalent
- Good relevant Claims experience
- BCP and PGI certified
- Intermediate specialist knowledge in Auto Claims 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 & prioritize workload and diary management
- Good computer literacy skills
- Ability to supervise, motivate and provide guidance to junior team members
- Ability to exercise initiative, adapt to a fast-paced environment and contribute effectively within a team setting.
- Ability to work with claims stakeholders to effectively direct claims strategy.
LI-LY1
A look at our Benefits
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. At AIG, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative
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