Claims Analyst II

About the Role

The primary purpose of the role is to investigate, evaluate, negotiate and settle the most complex of AIG Complex Claims by collecting and analyzing data according to policy application and/or contract provisions. Determine whether to accept or deny a claim based on all documentation received. The Auto claims team works with all key stakeholders (internal and external) to guarantee an adequate Total Cost of Claim and the best service possible for individual and corporate claims. What You'll Do

• Utilize acceptable investigation, claims handling and settlement techniques to achieve cost-effective and timely closure by obtaining, reviewing and analyzing documentation, policy provisions and other records.

• May require additional contact with other parties (e.g., employers, claimants, third parties such as medical providers, auto repair centers) as deemed necessary.

• Utilize diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of claims.

• Provide timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to inquiries according to company policy and procedures.

• Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.

• Determine and timely set appropriate reserves within authority level.

• Identify subrogation opportunities and fraud potential and make appropriate referrals.

• Manage 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.

• Work with Team Manager/Senior Adjuster to ensure effective vendor and litigation management on Complex claims within a personal allocation.

• Internal stakeholder communication where required.

• Strive for continuous improvement on claim file handling with feedback and support through the QA Review processes.

• Contribute to maintenance of best practice procedures for Auto Complex claims, consistent with global best practice.

• Demonstrate a basic standard of technical claims competence for handling moderate to lower complexity complex claims.

• Handle complex claims allocated within agreed level of authority limit. What We're Looking For

• Experience adjusting lower level complexity claims

• Ability to prioritize and multi-task effectively in a fast-paced environment

• Ability to communicate information clearly and concisely both verbally and in writing

• Computer proficiency

• Acquiring adjuster licenses or related may be required, depending upon country/jurisdictional requirements

• Requires proficiency in Desk Management, phone etiquette, time management and dealing with difficult customers

• A basic knowledge of legal/regulatory and litigation/procedural requirements for their line of business

• Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement Nice to Have

• Experience with Auto Complex claims and vendor and litigation management