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The Claims Resolution Specialist is responsible for investigating, evaluating, negotiating, and settling complex claims cases. This involves collecting and analyzing data to determine whether to accept or deny a claim based on policy provisions and documentation.
Key Responsibilities:- Utilize acceptable investigation techniques to achieve cost-effective and timely closure results.
- Obtain, review, and analyze documentation, policy provisions, and other records to determine liability.
- Initiate timely contact with parties involved in the claim and respond to inquiries according to company policy.
- Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
- Determine and set appropriate reserves within authority limits.
- Experience adjusting lower-level complexity claims.
- Able to prioritize and multitask effectively in a fast-paced environment.
- Effective communication skills both verbally and in writing.
- Proficiency in Desk Management, phone etiquette, time management, and dealing with difficult customers.
- Bachelor's degree in a related field or equivalent experience.
American International Group, Inc. (AIG) is a leading global insurance organization providing property casualty insurance solutions to individuals and businesses worldwide. At AIG, you can expect a culture of inclusion and belonging, with opportunities for continuous learning and development. Our team members are committed to making a positive difference in the communities where we work and live.
