Senior Complex Claims Examiner

2 weeks ago

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 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)

LI-AIG

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 Percentage (%)**: No Travel

**Relocation Provided**: No

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