Claims adjuster Accident and HealthTPA
Claims adjuster Accident and HealthTPA
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Job Description
Main roles & responsibilities
- CBRA 10 to 20: coordinating cybersecurity questionnaire with TPA Governance Compliance & Risk Officer & the Global Cybersecurity team in charge of the assessment; including preparation meetings with the TPAs & remediation plan follow up when applicable
- Contracts 10 to 20: negotiating contracts handling agreement with the TPAs in coordination with the Legal UW Claims teams subject matter experts if needed (sanctions fraud&recovery) negotiating amendments to the contracts against updates in regulation law AIG policies changes in the claims delegation authorities or in the claims guidelines
- Audits 10 to 20: leading the operational/compliance TPAs audits / coordinating the technical audits performed either by the local Claims team or by the Global Quality Assurance team. Recommendations follow up when required. Contribution to build the yearly audit plan for the BL TPAs.
- MI/Finance 10 to 15: receiving/checking monthly claims BDX all MI with a focus on key Claims Performance Metrics implementing & monitoring Claims Loss funds together with the controlling team
- New TPA referencing or extension of service/line of business of an existing TPA 0 to 10: leading/coordinating the onboarding process: business justification form CBRA due diligence/pre audit contract EMEA/International approval form to Head of Claims
- Any other topic / support to the claims & UW teams in relation with TPAs 5 to 10: any topic where a go between role is expected such as: offboarding of TPAs transfer from a TPA to another set up collaboration with fraud & recovery SIU team etc
- Any contribution with the functional colleagues based in France 5 to 10: team updates/calls preparation to France or FBL deck related with TPAs contribution to the EMEA Monthly forum with inputs from BL TPAs
Expectation to the role:
- Good writing skills
- Analytical and synthetic
- Good interpersonal skills (internal external)
- Reliability organization rigor
- Ability to work with autonomy & with a large panel of topics & people
- Ideally fluent in Dutch & English & good level of French
- Ease with office and application tools
- Ability to work in teams crossfunctional and matrix
- Occasional travel possible in this role
Ready to accelerate your career We would love to hear from you.
#LIAIG
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:
CL ClaimsAIG Europe S.A. (Belgium branch)Employment Type
Full-Time
