Complex Claims Resolution Specialist

hace 1 semana


Ciudad de México, Ciudad de México AIG A tiempo completo

About Us


American International Group, Inc. (AIG) is a leading global insurance organization with a presence in over 70 countries and jurisdictions.


We offer a wide range of property casualty insurance products and services that help businesses and individuals protect their assets and manage risks.


Our commitment to making a positive difference extends beyond our business operations to the communities where we work and live.


We encourage colleagues to give back to the causes they care most about through our Volunteer Time Off and Matching Grants Programs.


About the Role


The primary purpose of this job is to investigate, evaluate, negotiate, and settle complex claims cases by collecting and analyzing data according to policy application and/or contract provisions.


You will determine whether to accept or deny a claim based on all documentation received, ensuring timely and cost-effective closure results.


Your Contribution at AIG


You will handle a monthly average of 45 new claims and 135 outstanding claims, utilizing your expertise in investigation, analysis, and negotiation techniques.


Key Responsibilities:



  • Utilize acceptable investigation claims handling and settlement techniques to achieve cost-effective and timely closure results.
  • Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
  • Determine and set appropriate reserves within authority level, identifying subrogation opportunities and fraud potential.
  • Manage key claims handling enquiries, coverage determination, quantum analysis, and legal liability assessment, providing a high standard of customer service.
  • Work with Team Manager/Senior Adjuster to ensure effective vendor and litigation management on Complex claims within a personal allocation.
  • Strive for continuous improvement on claim file handling with feedback and support through Quality Assurance Review processes.
  • Contribute to maintenance of best practice procedures for Auto Complex claims, consistent with global best practice.

Requirements:



  • 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 upon 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.

About You


We are looking for an experienced and skilled individual who can demonstrate a strong understanding of complex claims resolution and possess excellent communication and negotiation skills.


Salary Range:$65,000 - $90,000 per year

Location:New York, NY



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