Personal Accident

Personal Accident & Travel Claims Medical Supervisor
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 A&H claims team works with the business to support a wide array of products and offerings, through a complex and highly demanding distribution force and network. Claims has the responsibility of delivering and materializing the product offer and promise. In the case of A&H this opportunity is given in even the most sensible and highly complex situations where the health and well being of our insureds and clients is touched and where we can make a significant difference at that level.
About the role
**What you need to know**:
Medical examiner and supervisor of personal accident and serious illness claims, responsible for medical and surgical authorizations, as well as supervision of the operational management of business lines with technical opinion, with participation and medical opinion in reconsiderations of health claims and medical auditor in medical care based on injury diagnosis.
Your contribution at AIG
The employee will be in charge of supervising and issuing medical advice on personal accident and health coverage for Serious Illness coverage with an approximate claims volume of 200 cases.

**Responsibilities**:
**1. Functional Responsibilities**:
Provide follow-up and solutions to claims requests received from insured parties and medical units regarding medical and surgical care for accidents, as well as attention to claims for compensation for serious illnesses.
Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate for high value complex claims such as cancer, muscular dystrophy, sclerosis, heart attacks, strokes, as well as highly specialized surgeries based on the organization's best practices.
Ensure effective management of healthcare providers and litigation within a personal mission, including demonstrable savings such as management of important medical trends
Reporting key claims messages to their Team Manager and to internal stakeholders
Broader internal / external stakeholder communication where required, as (LoB) technical claims expert and thought leader
Delivery of technical training to colleagues and external contacts as appropriate
Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes (potentially assisting Team Manager to complete monthly quality assurance reviews?)
Ensure adherence to best practice procedures for (LoB) Complex claims, consistent with global best practice.
Handle higher level of complexity claims Complex losses within authority limits
**2. Accountabilities**:
Key contact for resolving claims requests received from insured persons and medical units relating to medical and surgical care for accidents, as well as handling claims for compensation for serious illnesses.
Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense
Effective communication and management of key advanced Complex claims and (LoB) portfolio messages to internal stakeholders and customers/clients.
Financial control through consistent reserve and other financial transaction discipline
Accurate and consistent policy interpretation.
Medical audits of our provider network
3. Leadership Skills
Professional with a high sense of urgency, conflict resolution, empathy and high communication skills
Excellent communication skills, both written & verbal
Good presentation skills and medical file knowledge
Time management - ability to manage & prioritize workload and diary management
Ability to contribute effectively within a team environment and with internal/external stakeholders at all levels
Ability to assist with technical medical training to team