Casualty Claims Examiner

7 days ago

Johannesburg, Gauteng, South Africa AIG Full time
Who we are.

American International Group, Inc. (AIG) is a leading global insurance organization.

Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions.

These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks, and provide for retirement security.

Get to know the business.

AIG South Africa is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world's most far-reaching property casualty networks. AIG offers a broad range of products to customers through a diversified, multichannel distribution network.

About the role

What you need to know:


Reporting to the Casualty Claims Manager, this is a highly specialised and pressurised position requiring strong administration, technical and customer service skills to resolve complex Casualty claims.

Responsible for resolving claims; coverage determinations, investigation, verification and analysing data to determine entitlement of claims; ensuring claims validity; accurate payments and reserves set up; maintenance of claims files and records; communications with and reporting to brokers as required; and settlement of claims fairly and promptly.


Responsibilities:

  • Proactively investigate, evaluate, negotiate settlement, and resolve all allocated Casualty Claims
Ensure claims are handled within the allocated authority limits.
Interpret policy wordings adjust claims in line with the appropriate wording.
Develop, maintain, and build relationships with brokers and other stakeholders both internal and externally.
Manage service providers, Attorneys and Loss Adjustors to achieve costs effective and excellent service to our clients.
Focus on speedy claims finalisation without appointment of panel attorneys where possible. Resolve complex casualty claims ensuring cost effective and client driven solutions.
Collaborate and work with Underwriters and other business units as required in risk. identification and strategies to achieve departmental goals (financial, client retention, client satisfaction).
Deliver best-in-class assistance to brokers and clients throughout the claims process while directing cases to satisfactory resolutions.
Ensure that required documentation to assess the claim is received.

Posting accurate timely reserves for each claim handled, ensure updated timely based on the development of the claim; and review entire assigned portfolio on regular basis to ensure overall reserve adequacy.

Maintain a close coordination with the service providers and brokers.
Report on trends observed and policy wording and schedule issues.
Identify claims with potential recovery / salvage.

Manage a complex diverse workload across all casualty lines of business including but not limited to large quantum, local and international claims and litigated and non-litigated claims.

Actively evaluate and determine coverage.
Determine, raise, and monitor reserves in line with the AIG reserving philosophy.
Support team as and when required.
Ensure compliance with the AIG Claims Management and Data quality Requirements.
Manage service levels with appointment of service providers (Attorneys and Loss Adjustors)
Accurate and timeously payments of claim settlements and service provider invoices
Ad Hoc duties as required.

What we're looking for:

Bcom / Bcom Law or LLB Degree
Experience working a similar position dealing with Casualty Lines Claims
Strong administration, customer service and technical skills
Understand legal processes and procedures, litigation management and litigation avoidance techniques
Ability to work in a highly pressurised environment
Ability to work independently but take instruction when required
Effective time Management and diary skills
Computer Literate (Word, Excel, and PowerPoint)
Excellent communication skills (written and verbal)

We are an Equal Opportunity Employer


American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment.

We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories such as sexual orientation.

At AIG, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative workplace that leads to innovation, growth, and profitability.

Through a wide variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.


Functional Area:

CL - Claims

**Estimated Travel

  • Senior Complex Claims Examiner

    7 days ago

    Johannesburg, Gauteng, South Africa AIG Full time

    SENIOR COMPLEX CLAIMS EXAMINERWho we areAmerican International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and...

  • Claims Examiner

    7 days ago

    Johannesburg, Gauteng, South Africa Santam Full time

    What will you do?Emerald a subsidiary of Santam has a position available for a Claims Examiner who will be based in Fourways, Johannesburg.What will you do?Management and administration of claims in terms of corporate Assets All Risk Property Damage and Business Interruption claimsAppointment and management of external resources e.g., loss adjusters,...

  • Financial Lines Claims Adjuster

    7 days ago

    Johannesburg, Gauteng, South Africa AIG Full time

    Who we areAmerican International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings...

  • Claims Consultant

    7 days ago

    Johannesburg, Gauteng, South Africa Energy At Work Full time

    Job Title: Claims Consultant (Commercial and Personal Lines)Company Overview: Join our client's reputable insurance company, dedicated to providing exceptional insurance solutions to their clients. They are currently seeking a skilled and experienced Claims Consultant to join their Claims Department.Position Overview: As a Claims Consultant specializing in...

  • Insurance Claims Clerk

    7 days ago

    Johannesburg, Gauteng, South Africa Ultra Personnel Full time

    Matric and Short Term Insurance Certificate NQF 4 is essentialRegulatory Examination Passed (this is essential)3-5 Years experience working without supervision in Personal and Commercial Lines (Motor / Non-Motor Claims)Must come from a Brokerage environmentRegistering New ClaimsAttend to queriesFollow up on "Outstanding" claimsProcessing supplier invoices

  • Senior Claims Specialist

    7 days ago

    Johannesburg, Gauteng, South Africa Swiss RE Full time

    About the Role:This is a high-level Claims position based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining & casualty / financial lines claims, underwritten in both the retail and international wholesale markets.You will be equally comfortable acting as Lead or as a...

  • Claims Handler

    7 days ago

    Johannesburg, Gauteng, South Africa Allianz Global Corporate & Specialty Full time

    Let's care for tomorrow.Your ambitions. Your dreams. Your tomorrow.At Allianz Global Corporate and Specialty SE (AGCS), we are the global leader for insuring corporate and specialty risks in the Allianz Group. Whether it's aircraft, satellites, the world's biggest ships and tallest building, cyber-attacks or climate change impacts, Allianz Global Corporate...

  • Head, Short Term Claims

    7 days ago

    Johannesburg, Gauteng, South Africa Standard Bank Group Full time

    Job DescriptionTo direct and oversee the National Operations of the Insurance Claims departments to deliver effective and efficient world class customer service in order to excel in operation, financial and service requirements.Crafts the overall strategy for the claims management of the Insurance business.Makes strategic choices and necessary prioritization...

  • Head, Short Term Claims

    7 days ago

    Johannesburg, Gauteng, South Africa Standard Bank Group Full time

    Job DescriptionTo oversee the National Operations of the Insurance Claims departments, ensuring world-class customer service and operational excellence. Crafting strategies for claims management and driving financial achievements while prioritizing objectives across supply chain and claims management.QualificationsMinimum QualificationsType of Qualification:...

  • Head, Short Term Claims

    7 days ago

    Johannesburg, Gauteng, South Africa Standard Bank Of South Africa Limited Full time

    Business Segment: Insurance & Asset Management To direct and oversee the National Operations of the Insurance Claims departments to deliver effective and efficient world class customer service in order to excel in operation, financial and service requirements. Crafts the overall strategy for the claims management of the Insurance business. Makes strategic...

  • Head, Short Term Claims

    7 days ago

    Johannesburg, Gauteng, South Africa Standard Bank Of South Africa Limited Full time

    Business Segment: Insurance & Asset Management To direct and oversee the National Operations of the Insurance Claims departments to deliver effective and efficient world class customer service in order to excel in operation, financial and service requirements. Crafts the overall strategy for the claims management of the Insurance business. Makes strategic...

  • Specialist Claims Advisor

    7 days ago

    Johannesburg, Gauteng, South Africa Marsh Full time

    Specialist Claims Advisor:What can you expect?Marsh is a global leader in insurance broking and innovative risk management solutions. We help clients quantify and manage risk and help them unlock new growth opportunities.Having an established presence in more than 130 countries worldwide, national and international collaboration and connectedness are at our...

  • Claims Assessor: Non Motor

    1 week ago

    Johannesburg, Gauteng, South Africa Old Mutual Full time

    Description The role will effectively investigate, adjust and report on assigned claims, thus ensuring containment of all Non Motor claims spend on providing excellent service in setting a culture of best practice within mandated responsibility. You would: Process and Understand Non-Motor claims terms & claim types. ​Should be aware of escalation...

  • Broker Claims Agent

    7 days ago

    Johannesburg, Gauteng, South Africa Nedbank Full time

    Requisition Details & Talent Acquisition ContactREQ: Talent Acquisition Consultant: Lerato Sithole- Location: 135 Rivonia Road, Sandton, Nedbank Head Office- Cluster: Nedbank Wealth Insurance- Closing Date: 18 June 2024Job Family Sales And ServicesCareer Stream SalesLeadership Pipeline Manage Self: ProfessionalFAIS Affected FAIS Affected YesJob Purpose By...

  • Graduate With Property

    1 week ago

    Johannesburg, Gauteng, South Africa Swiss Re - Schweizerische Rückversicherungs-Gesellschaft Full time

    Graduate with Property & Casualty Reinsurance As our Graduate you will develop the crucial underwriting foundation, with the prospect to move into a professional underwriting role in our organization. This programme offers you a kick start to your career, developing technical skills relevant to the Reinsurance industry. We are looking for graduates with...

  • Graduate with Property

    7 days ago

    Johannesburg, Gauteng, South Africa Swiss Re Full time

    About the Role As our Graduate and future underwriting professional, you will work right in the heart of our business, interacting daily with diverse teams across the company that assist in the underwriting value chain. We strongly believe in learning by doing and therefore you will spend most of your time in the business working with amazing and...

  • Graduate with Property

    4 weeks ago

    Johannesburg, Gauteng, South Africa Swiss Re Full time

    As our Graduate you will develop the crucial underwriting foundation, with the prospect to move into a professional underwriting role in our organization. This programme offers you a kick start to your career, developing technical skills relevant to the Reinsurance industry.We are looking for graduates with strong interpersonal skills, who are eager to...

  • Graduate with Property

    7 days ago

    Johannesburg, Gauteng, South Africa Swiss Re Full time

    As our Graduate you will develop the crucial underwriting foundation, with the prospect to move into a professional underwriting role in our organization. This programme offers you a kick start to your career, developing technical skills relevant to the Reinsurance industry.We are looking for graduates with strong interpersonal skills, who are eager to...

  • Graduate with Property

    3 weeks ago

    Johannesburg, Gauteng, South Africa Swiss Re Full time

    As our Graduate you will develop the crucial underwriting foundation, with the prospect to move into a professional underwriting role in our organization. This programme offers you a kick start to your career, developing technical skills relevant to the Reinsurance industry.We are looking for graduates with strong interpersonal skills, who are eager to...

  • Digital Forensic Investigator

    7 days ago

    Johannesburg, Gauteng, South Africa Nedbank Full time

    Requisition Details & Talent Acquisition Contact REQ Tshego Semenya Closing date: 24 April 2023Cluster Group RiskCareer Stream ForensicsLeadership Pipeline Manage Self: ProfessionalPosition Digital Forensic InvestigatorJob Purpose To conduct digital forensic investigations and render forensic technical support to stakeholders; in order to mitigate risks and...