A&h Claims Analyst I

hace 2 meses


City, México AIG A tiempo completo

Who we are
American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks.
We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs.
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.
The claims function is meant to be a partner to the business segments, offering support, expertise and partnership. The existing diversity of the business portfolio demands from the claims role specialized expertise in the different business areas. The A&H claims team works with the business to support a wide array of products and offerings, through a complex and highly demanding distribution force and network. Claims has the responsibility of delivering and materializing the product offer and promise. In the case of A&H this opportunity is given in even the most sensible and highly complex situations where the health and well being of our insureds and clients is touched and where we can make a significant difference at that level.
About the role
**What you need to know**:
The primary purpose of the job is to support the medical network structure by promptly reviewing and processing all the information submitted by the medical network provider.
Your contribution at AIG
The employee will review and process approximately between 200 and 300 payments per month following a defined path of analysis and review protocols.

**Responsibilities**:
**1. Functional Responsibilities**:
Cross matching support documentation with Bdx information
Supporting an effective communication with claims vendor, including the medical network provider.
**2. Accountabilities**:
Timely and accurate resolution of claims borderaux.
Effective communication and management of vendors
Financial control through consistent reserve and other financial transaction discipline
Attention to detail. Be able to cross match borderaux information with support documentation, invoices, etc.
**What we’re looking for**:Experience**:
0-3 years of claims handling or case management for medical or personal accident claims portfolio
0-2 years of handling and managing medical service providers networks, cost containment strategies and continuous improvement strategies.
Basic policy wording interpretation and claims resolution on personal accident or medical expenses policies.
Minimum to medium experience in the handling of complex case management (e.g. cancer, etc.).
Along with technical skills required for the job, soft skills like effective broker engagement, teamwork, proactive claims management, effective time management/priorization, calendar organization.
Effective analytical and attention to detail.
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 belonging
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 our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity 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.
**Functional Area**:
CL - Claims
**Estimated


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