Claims Examiner II Accident Health
Claims Examiner II Accident Health
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Job Description
At AIG we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II Accident & Health to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team.
Make your mark in Accident and Health Claims
Our Claims teams are the proven problem solvers of choice for clients delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership we take pride in delivering responsive fair and professional service with empathy and efficiency.
How you will create an impact
The Personal Accident Claim Examiner will be responsible to handle all aspects of claim resolution for assigned claims while providing world class service to external and internal customers.
Handle Accident & Health claims as part of the A&H team handling claims such as A&D permanent and total disability critical illness and/or accident and sickness medical evacuation trip cancellation out of country medical etc. including key accounts that may have performance guarantees.Confirmcoverage of claims by reviewing policies and documents submitted in support of claims; analyze coverage and communicate coverage position.
Conduct coordinate and direct investigation into loss facts; Determine eligibility of claims and amounts owed under the terms of the contract.
Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals.
Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer escalations and file audits as needed.
Assist with team development and guidance.
Innovative mindset to help drive process improvement.
Other duties as assigned.
What youll need to succeed
A highly organized individual with ability to work in a high pace team oriented environment.
Insurance claims experience of at least 1 year(s) with exposure to Accident and Health claims which include sickness and bodily type injury claims or any related experience handling complex risks.
Superior customer services skills and ability to help manage response timelines and reporting requirements such as under performance guarantees
Above average computer and organizational skills
Excellent written and verbal communication skills with an ability to handle customer appeals.
Ability to read and interpret insurance policies and act as liaison with Underwriting as needed.
Ability to coach and develop others.
Accident and Health State Adjuster licenses a plus and job contingent after hire.
Bilingual (Spanish) a plus
Ready to take your career to the next level We would love to hear from you.
At AIG we value inperson collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.
#LIPA1
#LIHybrid
At AIG we value inperson collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.
Enjoy benefits that take care of what matters
At AIG our people are our greatest asset. We know how important it is to protect and invest in whats most important to you. That is why we created our Total Rewards Program a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family.
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 worlds most farreaching property casualty networks. It is an exciting time to join us across our operations we are thinking in new and innovative ways to deliver everbetter 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
Were committed to creating a culture that truly respects and celebrates each others talents backgrounds cultures opinions and goals. We foster a culture of inclusion and belonging through inclusion learning cultural awareness activities and Employee Resource Groups (ERGs). With global chapters ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIGs 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 .
Functional Area:
Employment Type
Full-Time
