Claims Compliance Officer
hace 4 días
Claims Analyst II
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 Auto claims team works with all key stakeholders (internal and external) to guarantee an adequate Total Cost of Claim and the best service possible por individual and corporate claims.
About the role
Your contribution at AIG
The employee will handle a monthly average of 200 new claims (serviced by Easy Claim).
**Primary Responsibilities**:
Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records. May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary. Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of claim.
Provides 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 inquires according to company policy and procedures.
Maintains accurate system data and documentation by collecting, recording, analyzing, and summarizing information. Identify subrogation opportunities and fraud potential and make appropriate referrals. Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a high standard of customer service. Work with Team Manager/Senior Adjuster to ensuring effective vendor and litigation management on Complex claims within a personal allocation. internal stakeholder communication where required Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review Processes. Contribute to maintenance of best practice procedures for Auto Complex claims, consistent with global best practice. Demonstrate a basic standard of technical claims competence for handling moderate to lower complexity complex claims.
**Accountabilities**:
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
Support in financial control through consistent discipline accurate estimates to properly establish a reserve
What we are looking for
- Experience cruise adjustment 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.
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 ou
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