Complex Claims Adjuster
il y a 14 heures
Complex Claims Adjuster - Casualty
Who we are
American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security.
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.
Claims function at AIG
Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment.
About the role
What you need to know:
To handle the Casualty portfolio of claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal and external stakeholders. Provide punctual support for Team Manager.
**Responsibilities**:
1. Functional Responsibilities:
- Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate for high value complex claims
- Working with Team Lead / Senior Adjusters in order to ensure effective vendor and litigation management on Complex claims within a personal allocation, including demonstrable savings
- Reporting key claims messages to their Team Manager and to internal stakeholders
- Broader internal / external stakeholder communication where required, as Casualty technical claims expert and thought leader
- Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes (potentially assisting Team Manager to complete monthly quality assurance reviews?)
- Ensure adherence to best practice procedures for Casualty Complex claims, consistent with global best practice.
- Handle Casualty claims within authority limits.
2. Accountabilities:
- Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
- Effective communication and management of key advanced Complex claims and Casualty portfolio messages to internal stakeholders and customers/clients.
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation.
What we’re looking for:
- Excellent communication skills, both written & verbal
- Proficiency in FR/NL/ENG
- Good presentation skills and file knowledge
- Time management - ability to manage & prioritise workload and diary management
- Ability to contribute effectively within a team environment and with internal/external stakeholders at all levels
- Ability to influence claims and non claims stakeholders to effectively direct claims strategy
- Policy language skills enabling accurate and consistent policy wording interpretation
- An advanced and thorough knowledge of legal / regulatory and litigation / procedural requirements for Casualty line of business
- Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement
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 inves
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