Claims Analyst Ll

Western World Insurance Company

Investigate evaluate negotiate settle complex claims
Analyze policy provisions and contract documents
Determine claim acceptance or denial based on documentation
The primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases

Job Summary

  • The primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases.
  • AIG is a leading global insurance organization committed to making a positive difference for colleagues and communities through Volunteer Time Off and Matching Grants Programs.
  • Employees will handle a monthly average of 45 new claims and 135 outstanding claims while ensuring timely processing and closure according to service level agreements.

Matching Summary

The primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases.

Skills & Requirements

Must-have

  • investigate evaluate negotiate settle complex claims
  • analyze policy provisions and contract documents
  • determine claim acceptance or denial based on documentation
  • manage monthly average of 45 new and 135 outstanding claims
  • utilize diary system for proactive issue resolution
  • maintain accurate system data and documentation
  • identify subrogation opportunities and fraud potential

Nice-to-have

  • effective communication with difficult customers
  • continuous improvement through quality assurance reviews
  • basic knowledge of legal regulatory requirements
  • experience following up on technical claims audits
  • strong time management and prioritization skills

Key Requirements

  • Experience adjusting lower level complexity claims
  • Acquiring adjuster licenses depending upon country/jurisdictional requirements
  • Proficiency in Desk Management and phone etiquette
  • Basic knowledge of legal regulatory and litigation procedural requirements

Work Rights

Not specified

Tailored Resume

Cover Letter