Claims Analyst II

hace 3 horas


Ciudad de México, Ciudad de México AIG A tiempo completo
About the Role

The Claims Analyst II will investigate, evaluate, negotiate, and settle complex claims cases by collecting and analyzing data according to policy application and/or contract provisions. The primary purpose of the job is to determine whether to accept or deny a claim based on all documentation received.

Your Contribution at AIG

The employee will handle a monthly average of 45 new and 135 outstanding claims according to the staffing model.

Primary Responsibilities:
  • Utilize acceptable investigation claims handling and settlement techniques to achieve cost-effective and timely closure results.
  • Obtain, review, and analyze documentation, policy provisions, and other records.
  • May require additional contact with other parties, such as employers, claimants, and third parties.
  • Utilize a diary system to proactively resolve outstanding issues and ensure timely processing and closure of claims.
  • Provide timely service throughout the life of the claim by meeting all service level agreements and responding to incoming inquiries according to company policy and procedures.
  • Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
  • Determine and timely set appropriate reserves within authority limits.
  • Identify subrogation opportunities and fraud potential and make appropriate referrals.
  • Manage key claims handling inquiries, coverage determination, quantum analysis, and legal liability assessment, where appropriate within authority limits.
What We Are Looking For
  • Experience adjusting lower-level complexity claims.
  • Ability to prioritize and multi-task effectively in a fast-paced environment.
  • Ability to communicate information clearly and concisely both verbally and in writing.
  • Computer proficiency.
  • Acquiring adjuster licenses or related may be required, depending on country/jurisdictional requirements.
  • Requires proficiency in Desk Management, phone etiquette, time management, and dealing with difficult customers.
  • 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.
  • Experience in determining liability (claims).
About AIG

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.

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.

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).

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.

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to [insert email address].


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