Complex Claims Examiner, Financial Lines

Complex Claims Examiner, Financial Lines

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

General Insurance 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. General Insurance offers a broad range of products to customers through

a diversified, multichannel distribution network.

Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment.

About the role

What you need to know:
Functional Responsibilities
- Managing claims handling enquiries, coverage determinations, quantum analysis and legal liability assessments for complex claims
- Ensuring effective vendor and litigation management on Complex claims within a personal allocation, including demonstrable savings
- Reporting key claims messages to the Australasian Complex Claims Manager and to internal stakeholders
- Broadening internal / external stakeholder communication where required, as financial lines technical claims expert and thought leader
- Delivering technical training to colleagues and external contacts as appropriate
- Assisting in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes (including assisting Australasian Complex Claims Manager to complete monthly quality assurance reviews)
- Ensuring adherence to best practice procedures for financial lines complex claims, consistent with global best practice
- Handling higher level of complex claims within authority limits

Accountabilities
- Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
- Consistent proactive claims handling on an ongoing basis (i.e. initial file review, investigations and liability, negotiations and settlement, and litigation management)
- Effective communication and management of key complex claims and financial lines portfolio messages to internal stakeholders and customers/clients
- Financial control through consistent reserve and other financial transaction discipline
- Accurate and consistent policy interpretation
- In addition, the successful applicant will be required to:

- Work within agreed decision making standards, limitations and authorities
- Comply with key regulatory and risk management responsibilities
- Carry out your accountabilities and objectives within the framework of AIG Australia’s Regulatory policy.

What we’re looking for:

- Excellent communication skills, both written and verbal
- Good presentation skills and file knowledge
- Ability to manage and prioritise workload and diary management, and to work independently
- Ability to contribute effectively within a team environment when required, and with internal/external stakeholders at all levels
- Ability to assist with technical training to team claim handlers as required
- Ability to influence claims and non-claims stakeholders to effectively direct claims strategy
- Well-developed/advanced expertise and knowledge in financial lines technically complex claims
- Policy language skills enabling accurate and consistent policy wording interpretation
- An advanced and thorough knowledge of legal / regulatory and litigation / procedural requirements for financial lines
- Experience in negotiation, mediation, arbitration, and ADR skills on higher value complex claims
- Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement

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,