Claims Examiner IV, Accident & Health

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner IV, Accident & Health 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 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.

Confirm coverage of claims by reviewing policies and documents submitted in support of complex claims.

Analyze coverage and communicate coverage position, including management of key stakeholders (brokers, underwriting partners, policyholders).

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.

Recognize and make appropriate Risk and Fraud referrals.

Handle high technical and severity losses with minimal supervision, including performance guarantee accounts and litigation.

Handle Accidental Death & Dismemberment claims timely and accurately.

Assist with team development and guidance, including mentoring and file audits.

Assist manager with stakeholder management, such as client stewardship meetings and customer escalations.

Ability to read and interpret insurance policies and act as liaison with Underwriting as well as regular interaction with legal counsel (internal / external)

Innovative mindset to help drive process improvement.

Other duties as assigned.

What you’ll need to succeed

A highly organized individual with ability to work in a high pace, team oriented environment.

Insurance claims experience of at least 5+ 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.

LI-PA1

LI-Hybrid

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 what’s 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 security as well as your professional development to 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 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 [email protected] .

Functional Area : CL - Claims

CL - Claims

AIG Claims, Inc.