Senior Complex Claims Examiner

2 weeks ago


Johannesburg, South Africa AIG Full time

SENIOR COMPLEX CLAIMS EXAMINER

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 and Financial Lines Claims Manager, this is a highly specialised and pressurised position requiring strong administration, technical and customer service skills. This role proactively investigates, evaluates, negotiates settlement, and resolves all allocated Financial Lines claims, within the allocated authority limits. The role also develops, maintains, and builds relationships with brokers and other stakeholders both internally and externally

Responsibilities:
- Interprets policy wordings and adjusts claims in line with the appropriate wording
- Manages 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
- Collaborates and work with Underwriters and other business units as required in risk identification and strategies to achieve departmental goals (financial, client retention, client satisfaction)
- Resolve complex financial lines claims ensuring cost effective and client driven solutions
- Manage a complex diverse workload across all financial 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
- Ensure compliance with the AIG Claims Management and Data quality Requirements
- Manage service levels with appointed 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
- Minimum 3 -5 years working a similar position dealing with financial 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.

To learn more please visit:

- Reasonable accommodations will be determined on a case-by-case basis.

Functional Area:
CL - Claims

Estimated Travel Percentage (%): No Travel

Relocation Provided: No

AIG South Africa



  • Johannesburg, 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...

  • Claims Examiner

    4 weeks ago


    Johannesburg, 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 claims Appointment and management of external resources e.g., loss adjusters,...


  • Johannesburg, 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...

  • Claims Controller

    4 weeks ago


    Johannesburg, South Africa Boikago Group Full time

    **Job Details**: - Department Insurance- Minimum experience Associate- Company primary industry Insurance- Job functional area Other**Introduction** A great company in the insurance sector is actively sourcing for a Claims Controller to join their team for a 6 months fixed term contract and accurately record and examine received claims and any related...


  • Johannesburg, 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...

  • Claims Controller

    4 weeks ago


    Johannesburg, South Africa Six Sense Full time

    Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Claims Controller. To collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or to determine the...


  • Johannesburg, South Africa Ultra Personnel Full time

    Matric and Short Term Insurance Certificate NQF 4 is essential Regulatory 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 environment Registering New Claims Attend to queries Follow up on "Outstanding" claims Processing supplier...


  • Johannesburg, South Africa University of the Witwatersrand Full time

    **Main Purpose**: The incumbent will assist the Head of EGO to manage all functional responsibilities associated with the day-to-day planning, execution, reviewing, and refining of examinations and graduations processes at the University. **Key Responsibilities**: - Assist the Head, Deputy Head, and the Senior EGO Officer with the coordination of all...


  • Johannesburg, South Africa Ultra Personnel Full time

    Matric Certificate with Mathematics Regulatory Exam and Higher Certificate in Short term Insurance - NQF 5 Degree in Law or Risk Management or similar is preferred Leadership / Management Development Certification is preferred Class of Business certification (Personal Lines & Commercial Lines) Must be compliant with FAIS Fit and Proper requirements with...

  • Broker Claims Agent

    4 weeks ago


    Johannesburg, South Africa Nedbank Full time

    **Requisition Details & Talent Acquisition Contact** - REQ: 133272- Talent Acquisition Consultant: Lerato Sithole- Location: Pretoria- Cluster: Nedbank Wealth Insurance- Closing Date: 23 April 2024**Job Family** - Sales And Services **Career Stream** - Sales - Leadership Pipeline- Manage Self: Professional - FAIS Affected- FAIS Affected - Yes**Job...


  • Johannesburg, South Africa Ultra Personnel Full time

    Matric Certificate and Regulatory Exams Further Education and Training Certificate in Short-Term Insurance NQF 4, and / or a Higher Certificate in Short term Insurance - NQF 5 Class of Business certification (Personal Lines & Commercial Lines) Highly advantageous Must be compliant with FAIS Fit and Proper requirements with track-record of working...


  • Johannesburg, South Africa Believe Resourcing Full time

    **About our client**: Join the ranks of the world's leading reinsurance company! With over 40,000 employees across numerous global locations, our client has been a pillar of the insurance industry in South Africa for over 50 years. They are at the forefront of transforming how insurance is perceived, converting uncertainty into manageable risk and driving...


  • Johannesburg, South Africa Sanlam Full time

    **OPPORTUNITY** - Santam Broker Solutions has a position available for an Executive Head of Claims at senior management level preferably based in Johannesburg. The position reports to the Chief Executive Officer of Broker Solutions.**WHAT WILL YOU DO** - To provide strategic and operational direction to optimise and manage the end-to-end claims value chain...


  • Johannesburg, South Africa Sanlam Full time

    **Who are we?** Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...

  • Claim Handler

    3 days ago


    Johannesburg, South Africa SavageOne Pty Ltd Full time

    Key Responsibilities:Receive and review insurance claims, including property damage, liability, and personal injury claims, to determine coverage and eligibility.Conduct thorough investigations into the circumstances surrounding each claim, gathering relevant information, documents, and evidence.Evaluate claim documentation, policy terms, and legal...


  • Johannesburg, South Africa PPS Recruitment Full time

    **Job Advert Summary**: This role reports to the Team Manager Claims. Responsible for assessment and management of long-term Sickness, Permanent Incapacity and Disability claims. The role will transfer specialist claims knowledge, in-depth process knowledge and client centric principles. The incumbent will deal with technical and complex claims queries...

  • Life Claims Assessor

    4 weeks ago


    Johannesburg, South Africa Execuplace Appointments Full time

    What youll be doing if you get the job: The purpose of this role is responsible to drive the formulation and implementation of the risk model and underwriting philosophy, analyse claims and other data when assessing claims. Providing feedback on all claims, liaising with relevant stakeholders, and utilise their skills, knowledge and experience to make...


  • Johannesburg, South Africa Santam Full time

    CAREER OPPORTUNITY Santam’s Claims department has positions available for Merit Claims Service Consultants (Non Motor) based in Auckland Park, Gauteng. The Claims Service Consultant (CSC) for Merit Desktop Assessment claims is accountable for the claims end to end and is responsible for coordinating and overseeing all actions on claims in this processing...

  • Claims Controller

    3 days ago


    Johannesburg, South Africa Sasria Full time

    Closing Date - 2024/05/24 - Reference Number - SAS240513-1 - Job Title - Claims Controller - C4 - Job Type - Permanent - Division - Insurance Operations - Department - Claims - EE Occupational Levels - Level 4 & 5: Skilled, Technical and Academically Qualified - Location - Town / City - Johannesburg - Location - Province - Gauteng - Location - Country -...

  • Claims Specialist

    4 weeks ago


    Johannesburg, South Africa Jobking Full time

    CLAIMS SPECIALIST: NON-LIFE CLAIMS (LEVEL C1) Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...