Claims Examiner

2 months ago


Johannesburg, Gauteng, South Africa AIG Full time
Claims Examiner Job Description

We are seeking a skilled Claims Examiner to join our team at AIG. As a Claims Examiner, you will be responsible for providing efficient and professional claims service to customers through prompt and fair settlement of claims within mandate.

Key Responsibilities:

  • Claims Administration: Register claims according to procedure, set appropriate reserves in line with policy, determine if the loss is covered in terms of the policy, assess the claim based on accurate interpretation of policy wording, and refer claims outside claims mandate.
  • Customer Service: Establish and maintain excellent levels of customer service, with particular attention to responsiveness, quality of service rendered, and adherence to internal and external SLAs.
  • Expense Control: Manage all expenses within budget and continuously work to reduce the expense ratio through constant attention to efficiencies and opportunities to maximize productivity through streamlining of processes.
  • Audit and Compliance: Ensure adherence with and implementation of all claims compliance controls as may be specified from time to time by the Claims Manager.

Requirements:

  • Matric
  • Short Term Insurance qualification preferred
  • FAIS compliant
  • Minimum of 3 year's experience as Claims Examiner, including experience in specific Line of Business, as appropriate.
  • Core Competencies Requirements: Dealing with Ambiguity, Customer Focus, Negotiating, Drive for Results, Business Acumen, Problem Solving, Interpretation of legal agreements, Policies for Regulations, Portfolio Management.

AIG is a global leader in commercial and personal insurance solutions. We are committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions, and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities, and Employee Resource Groups (ERGs).

AIG provides 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.


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