Investigate, evaluate, negotiate, and settle complex claims
Analyze data according to policy provisions
Determine claim acceptance or denial
AIG Australia is seeking a Claims Analyst II to manage complex claims, ensuring timely resolution and adherence to policy provisions. The role requires strong communication and analytical skills, along with a commitment to continuous improvement in claims handling
Job Summary
The primary purpose of the job is to investigate, evaluate, negotiate and settle the most complex of the AIG Complex Claims cases by collecting and analyzing data according to policy application and/or contract provisions.
Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office.
Matching Summary
Match Score: 85
AIG Australia is seeking a Claims Analyst II to manage complex claims, ensuring timely resolution and adherence to policy provisions. The role requires strong communication and analytical skills, along with a commitment to continuous improvement in claims handling.
Skills & Requirements
Must-have
Investigate, evaluate, negotiate, and settle complex claims
Analyze data according to policy provisions
Determine claim acceptance or denial
Handle an average of 200 new claims monthly
Utilize diary system for proactive issue resolution
Meet all service level agreements
Maintain accurate system data and documentation
Identify subrogation opportunities and fraud potential
Manage coverage determination and quantum analysis
Work with Team Manager/Senior Adjuster on vendor and litigation management
Nice-to-have
Continuous improvement on claim file handling
Contribute to best practice procedures
Demonstrate technical claims competence
In-person collaboration is valued
Culture of inclusion and belonging
Key Requirements
Experience in complex claims adjustment
Ability to prioritize and multi-task
Clear and concise verbal and written communication
Computer proficiency
Desk Management, phone etiquette, time management
Dealing with difficult customers
Basic knowledge of legal/regulatory requirements
Experience following up on technical claims audits