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Claims Resolution Specialist
1 week ago
AIG is reimagining insurance to make a bigger difference in the world. As a Claims Resolution Specialist, you will play a crucial role in this transformation.
Manage Risk, Deliver Excellence
We are looking for a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for managing key claims handling enquiries, coverage determination, quantum analysis and legal liability assessment within authority limits, while providing exceptional customer service.
Your Key Responsibilities
- Managing key claims handling enquiries; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a high standard of customer service.
- Working with Team Manager/Senior Adjuster to ensure effective vendor and litigation management on complex claims within a personal allocation.
- Developing communication for internal stakeholders, where required.
- Striving for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes.
- Contributing to maintenance of best practice procedures for (LOB) complex claims, consistent with global best practice.
- Demonstrating a basic standard of technical claims competence for handling moderate to lower complexity complex claims.
- Handling complex claims allocated within agreed level of authority limit.
What You Need to Succeed
- Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense.
- Consistent proactive claims handling on an ongoing basis (i.e. initial file review, investigations and liability, negotiations and settlement, and litigation management).
- Effective communication of key complex claims and (LOB) portfolio messages to internal stakeholders.
- Financial control through consistent reserve and other financial transaction discipline.
- Accurate and consistent policy interpretation.
