Casualty Claims Examiner

8 months 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 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



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