Claims Accident and Health TPA

il y a 4 semaines

Brussels, Belgique AIG Temps plein

Claims Accident and Health TPA

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.

Duties and Responsibilities

TPA oversight missions

  • New TPA referencing or extension of service/line of business of an existing TPA: leading/coordinating the onboarding process: business justification form, CBRA, due diligence/pre audit, contract, EMEA/International approval form to Head of Claims
  • Audits: 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.
  • Overall: monitoring all key topics are aligned with the Claims TPA framework: onboarding completed, yearly audits performed, new CBRA & CBRA refresh completed, contracts signed, MI delivered & consistent

TPA operational missions

  • CBRA: 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: 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
  • MI/Finance: 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
  • Any other topic / support to the claims & UW teams in relation with TPAs: 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: 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
  • Good level of English & ideally French
  • Ease with office and application tools
  • Ability to work in teams, cross-functional and matrix
  • Occasional travel possible in this role

#LI-AIG

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 candidatecare@aig.com.  

Functional Area:

CL - Claims

Estimated Travel Percentage (%): No Travel

Relocation Provided: No

AIG Europe S.A. (Belgium branch)

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