Complex Claims Adjuster
6 months ago
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.
About the role
**What you need to know**:
To actively support the Personal Accident Claims function in attaining its objectives through the proactive assessment and management of genuine claims with the agreed settlement authority limit.
Contribute to the department achieving its overall objectives through ensuring delivery of a customer focused service whilst operating within a legal regulatory framework.
**Duties & Responsibilities**:
- Handle and investigate all complex claims that have been allocated in accordance with agreed internal service levels, best practice requirements and against policy conditions.
- Develop and maintain technical and soft skills to enable accurate assessment and reserving of complex claims in accordance with specific best guidelines and specified authority limit.
- Promote compliance with best practice for all aspects of claims assessment within personal accident adhering to the specific procedures and processes that are applicable to Corporate and Direct policies.
- Proactively identify and review suspect/fraudulent claims using the key fraud indicators.
**What we’re looking for**:
Previous Accident & Health or Personal Accident claims experience
Policy language skills enabling accurate and consistent policy wording interpretation
A basic knowledge of legal/regulatory and litigation procedural requirements
Strong verbal and written communication skills
Time management - ability to handle multiple priorities, organize work and meet deadlines.
Attention to detail and the ability to problem solve
Strong customer service and negotiating skills
A look at our Benefits
We're proud to offer a range of employee benefits and resources that help you protect what matters most - your health care, savings, financial protection and wellbeing. We provide a variety of leaves for personal, health, family and military needs. For example, our "Giving Back" program allows you to take up to 16 hours a year to volunteer in your community. Our global mental health and wellness days off provide all colleagues with a paid day off to focus on their mental health and wellbeing.
We also believe in fostering our colleagues' development and offer a range of learning opportunities for colleagues to hone their professional skills to position themselves for the next steps of their careers. We have a tuition reimbursement program for eligible colleagues to enhance their education, skills, and knowledge in areas that relate to their current position or future positions to which they may transfer or progress.
We are an Equal Opportunity Employer
American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment. We provide 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 such as sexual orientation. At AIG, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a wide variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.
**Functional Area**:
CL - Claims
**Estimated Travel Percentage (%)**: No Travel
**Relocation Provided**: No
AIG Europe S.A. (U.K. Branch) & American International Group UK Ltd
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