Auto Claims Adjuster
hace 1 semana
About Us
American International Group, Inc. (AIG) is a leading global insurance organization dedicated to providing a wide range of property casualty insurance in approximately 70 countries and jurisdictions.
We are committed to making a positive difference for our colleagues and in the communities where we work and live. Our employees play a vital role in delivering on this commitment through their contributions to AIG's Volunteer Time Off and Matching Grants Programs.
Our Business
General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. We offer a broad range of products to customers through a diversified, multichannel distribution network.
The claims function is a critical partner to our business segments, offering support, expertise, and partnership. Our Auto claims team works with all key stakeholders (internal and external) to guarantee an adequate Total Cost of Claim and the best service possible for individual and corporate claims.
About the Role
The primary purpose of this job is to investigate, evaluate, negotiate, and settle the most complex AIG Complex Claims cases by collecting and analyzing data according to policy application and/or contract provisions.
Determine whether to accept or deny a claim based on all documentation received. Typical claims include policy cancellations due to non-pay denial letter required.
Your Contribution at AIG
This employee will review and authorize annual appraisals and perform reinspections. Key Responsibilities include:
- Utilizing acceptable investigation claims handling and settlement techniques to achieve cost-effective and timely closure results by obtaining, reviewing, and analyzing documentation, policy provisions, and other records.
- Maintaining contact with other parties (i.e., employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary.
- Using a diary system to proactively resolve outstanding issues and ensure timely processing and closure of claim.
- Providing timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
- Maintaining accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
- Identifying subrogation opportunities and fraud potential and making appropriate referrals.
- Managing key claims handling enquiries; coverage determination, quantum analysis, and legal liability assessment, where appropriate within authority limits and providing a high standard of customer service.
- Collaborating with Team Manager/Senior Adjuster to ensure effective vendor and litigation management on Complex claims within a personal allocation.
- Communicating with internal stakeholders where required.
- Striving for continuous improvement on claim file handling with feedback and support through Quality Assurance Review Processes.
- Contributing to maintaining best practice procedures for Auto Complex claims consistent with global best practice.
- Demonstrating basic technical claims competence for handling moderate to lower complexity Complex claims.
Accountabilities
This position is responsible for:
- Timely, accurate, and customer-focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense.
- Effective communication of key Complex claims and Auto portfolio messages to internal stakeholders.
- Accurate and consistent policy interpretation.
- Supporting financial control through consistent discipline and accurate estimates to properly establish a reserve.
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