Complex Claims Examiners
Welcome to American International Group, where we pride ourselves on providing top-notch insurance coverage and exceptional customer service. We are currently seeking highly skilled and experienced Complex Claims Examiners to join our team and help us continue to exceed our clients' expectations. As a Complex Claims Examiner, you will be responsible for investigating, evaluating, and resolving complex insurance claims, ensuring timely and accurate settlements. We are looking for candidates who are detail-oriented, analytical, and possess excellent communication and negotiation skills. If you are passionate about providing exceptional service and have a strong background in claims handling, we would love to hear from you. Join us in our mission to protect and support our clients' financial well-being.
Investigate complex insurance claims and determine coverage eligibility based on policy terms and conditions.
Evaluate and analyze documentation, including medical records, witness statements, and other evidence, to accurately assess claim value.
Communicate with policyholders, claimants, and other relevant parties to gather necessary information and provide updates on claim status.
Negotiate settlements with claimants and their representatives, ensuring fair and timely resolution.
Utilize industry knowledge and expertise to identify potential fraud or misrepresentation and take appropriate action.
Document all claim activities and decisions in a thorough and organized manner.
Collaborate with internal departments, such as underwriting and legal, to ensure proper handling of complex claims.
Keep up-to-date with industry trends and best practices to continuously improve claims handling processes.
Provide exceptional customer service to maintain positive relationships with clients and promote brand loyalty.
Adhere to company policies and procedures, as well as state and federal regulations, when handling claims.
Mentor and train junior claims examiners to improve overall team performance.
Attend trainings and professional development opportunities to enhance skills and knowledge.
Serve as a subject matter expert and resource for complex claims inquiries from team members and other departments.
Contribute to the development and implementation of new claims handling strategies and initiatives.
Represent the company in a professional and ethical manner at all times.
American International Group is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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Investigate complex insurance claims and determine coverage eligibility based on policy terms and conditions.
Evaluate and analyze documentation, including medical records, witness statements, and other evidence, to accurately assess claim value.
Communicate with policyholders, claimants, and other relevant parties to gather necessary information and provide updates on claim status.
Negotiate settlements with claimants and their representatives, ensuring fair and timely resolution.
Utilize industry knowledge and expertise to identify potential fraud or misrepresentation and take appropriate action.
Document all claim activities and decisions in a thorough and organized manner.
Collaborate with internal departments, such as underwriting and legal, to ensure proper handling of complex claims.
Keep up-to-date with industry trends and best practices to continuously improve claims handling processes.
Provide exceptional customer service to maintain positive relationships with clients and promote brand loyalty.
Adhere to company policies and procedures, as well as state and federal regulations, when handling claims.
Mentor and train junior claims examiners to improve overall team performance.
Attend trainings and professional development opportunities to enhance skills and knowledge.
Serve as a subject matter expert and resource for complex claims inquiries from team members and other departments.
Contribute to the development and implementation of new claims handling strategies and initiatives.
Represent the company in a professional and ethical manner at all times.
American International Group is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Apply tot his job
Apply To this Job