Claims Analyst II
hace 2 meses
The primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases by collecting and analyzing data according to policy application and/or contract provisions. Determine whether to accept or deny a claim based on all documentation received. Typical claims include: policy cancelations due to non-pay denial letter required
Your contribution at AIG
The employee will handle a monthly average of 45 claims new and 135 oustanding according to the staffing model
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.
- Determines and timely sets appropriate reserves within authority level.
- 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.
- Handle complex claims allocated within agreed level of authority limit
Accountabilities:
- Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
- Effective communication of key Complex claims and Auto portfolio messages to internal stakeholders.
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation
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 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.
- Bilingual (fluent in written and conversational English)
#LI-MF1
#LI-AIG
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 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.
Welcome to a culture of belonging
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). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
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 candidatecare@aig.com.
Functional Area:
CL - ClaimsEstimated Travel Percentage (%): No TravelRelocation Provided: NoAIG SEGUROS MEXICO S.A. DE C.V.-
Claims Analyst II
hace 3 meses
Mexico City AIG A tiempo completoClaims AnalystThe primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases by collecting and analyzing data according to policy application and/or contract provisions. Determine whether to accept or deny a claim based on all documentation received. Typical claims include: policy...
-
Claims Analyst II
hace 4 semanas
Mexico City AIG A tiempo completoClaims AnalystThe primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases by collecting and analyzing data according to policy application and/or contract provisions. Determine whether to accept or deny a claim based on all documentation received. Typical claims include: policy...
-
Claims Analyst Ii
hace 5 días
City, México AIG A tiempo completoAppraisal // 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...
-
Claims Manager
hace 1 mes
Mexico City ENGIE A tiempo completoENGIE Mexico, Energy at the service of the country ENGIE is a global leader in low-carbon energy and services. With our 170,000 employees Our customers, partners and stakeholders, ENGIE is committed to accelerate the transition towards a carbon-neutral world, through reduced energy consumption and more environmentally-friendly solutions. We are committed...
-
Claims Manager
hace 4 semanas
Mexico City ENGIE A tiempo completoENGIE Mexico, Energy at the service of the country ENGIE is a global leader in low-carbon energy and services. With our 170,000 employees Our customers, partners and stakeholders, ENGIE is committed to accelerate the transition towards a carbon-neutral world, through reduced energy consumption and more environmentally-friendly solutions. We are committed...
-
Analyst Claims EW
hace 3 meses
Mexico City AIG A tiempo completoIssuance AnalystWho we areAmerican 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...
-
Analyst Claims EW
hace 4 semanas
Mexico City AIG A tiempo completoIssuance AnalystWho we areAmerican 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...
-
Analyst Claims EW
hace 3 meses
Mexico City AIG A tiempo completoIssuance AnalystWho we areAmerican 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...
-
Analyst Claims EW
hace 4 semanas
Mexico City AIG A tiempo completoIssuance AnalystWho we areAmerican 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...
-
Analyst Claims Ew
hace 2 semanas
City, México AIG A tiempo completoIssuance Analyst 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...
-
Analyst II-Documentary trade
hace 4 semanas
Mexico City Santander A tiempo completoAnalyst II-Documentary tradeCountry: Mexico Grupo Santander es el banco líder que a través de más de años de reinvención, ha llegado a ser una organización sin fronteras con presencia en más de países, nacionalidades y equipos multiculturales que comparten idiomas. Lo importante para nosotros son nuestros clientes, colaboradores, accionistas y la...
-
Business Analyst II, AOP
hace 1 mes
Mexico City Servicios Comerciales Amazon Mexico S. de R.L. de C.V. A tiempo completoAnalytics Ops and Programs team in Hyderabad is looking for an innovative, hands-on and customer-obsessed Business Analyst. Candidate must be detail oriented, have superior verbal and written communication skills, strong organizational skills, excellent technical skills and should be able to juggle multiple tasks at once. Ideal candidate must be able to...
-
Business Analyst II, AOP
hace 4 semanas
Mexico City Servicios Comerciales Amazon Mexico S. de R.L. de C.V. A tiempo completoAnalytics Ops and Programs team in Hyderabad is looking for an innovative, hands-on and customer-obsessed Business Analyst. Candidate must be detail oriented, have superior verbal and written communication skills, strong organizational skills, excellent technical skills and should be able to juggle multiple tasks at once. Ideal candidate must be able to...
-
Credit & Collections Analyst (all genders)
hace 1 mes
Mexico City 0360 BSS Mexico A tiempo completoYour Tasks The Credit Analyst will be responsible for executing collections to achieve targets, deliver service to our Internal and External Customers. Also must be in constant communication with the customer to clarify disputes. Maintain constant communication with other related areas (Sales Controlling, Customer Service, Taxes, Accounting, etc)....
-
Credit Portfolio Analyst II
hace 4 semanas
Mexico City 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex A tiempo completoThe Credit Portfolio Analyst II is an intermediate-level position responsible for conducting credit reviews, credit approval and monitoring the portfolio to identify credit migration in coordination with the Risk Management team. The overall objective of this role is to manage Citi's portfolio exposure to clients and counterparties globally. ...
-
Credit Portfolio Analyst II
hace 3 meses
Mexico City Citi A tiempo completoThe Credit Portfolio Analyst II is an intermediate-level position responsible for conducting credit reviews, credit approval and monitoring the portfolio to identify credit migration in coordination with the Risk Management team. The overall objective of this role is to manage Citi's portfolio exposure to clients and counterparties globally. ...
-
Actuarial Analyst
hace 5 días
Mexico City WTW A tiempo completoBeing an Actuarial and Analytics Center (AAC) analyst provides you the opportunity to work on different projects as: Reserving, Capital Modeling, Embedded Value, Pricing and Statistical research. Continuous training on software and actuarial topics by North America and local consultants. This position brings you several options to interact and learn from...
-
Credit Portfolio Analyst II
hace 1 mes
Mexico City 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex A tiempo completoThe Credit Portfolio Analyst II is an intermediate-level position responsible for conducting credit reviews, credit approval and monitoring the portfolio to identify credit migration in coordination with the Risk Management team. The overall objective of this role is to manage Citi's portfolio exposure to clients and counterparties globally. ...
-
Operational Risk Analyst II
hace 4 semanas
Mexico City 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex A tiempo completoThe Operational Risk Analyst II is a developing professional role. Applies specialty area knowledge in monitoring, assessing, analyzing and/or evaluating processes and data. Identifies policy gaps and formulates policies. Interprets data and makes recommendations. Researches and interprets factual information. Identifies inconsistencies in data or results,...
-
Analyst II Financial Control
hace 1 mes
Mexico City AIG A tiempo completoAnalyst II Financial ControlAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Accountant III to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.Make your mark in FP&A AreaWill be in charge of the expense management oversight, including the...
