Claim Governance Analyst at AIG

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

Proven claim adjudication or claim operations experience for multi-line commercial claims
Claim Audit or file review experience is desirable
Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus
Experience in claims analysis, management information and stakeholder reporting desirable
Ability to make recommendations on action and improvement plans
Excellent attention to detail
Excellent verbal and written communication skills, ability to influence and manage stakeholder expectations
Excellent written communication skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation
Ability to address queries, disputes, challenges through the oversight audit cycle while maintaining the philosophies of the Governance Oversight control and objective
Excellent organizational skills

Responsibilities

Perform oversight audits of functions or services provided by third parties to evaluate Service Level Agreement compliance and to identify claim handling or operational improvement opportunities
Gather data for compliance with claim audit requests or for regulatory reporting
Complete monthly oversight quality reviews on services provided by third party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims
Generate monthly reports that are reviewed with key stakeholders that effectively capture the prior month performance; develop action plans in coordination with key stakeholders when performance is below expectation
Identify trends and improvement opportunities with follow-up to identify opportunities for new audits to evaluate performance and support claim handling performance
Assist with the collection of data to support audit or regulatory reporting requirements, including industry and state requests, and collaborate with outside auditors reviewing the oversight audits
Establish and maintain effective communication with third party contractors, internal teams and state contacts to support ongoing efforts to improve performance and efficiency
Assist with the review of controls with other departments to identify potential impacts from upcoming projects

Skills

Key technologies and capabilities for this role

Claim AuditingSLA ComplianceRegulatory ReportingQuality ReviewsData GatheringTrend AnalysisMonthly ReportingAction Plan DevelopmentCommercial ClaimsPersonal Lines ClaimsThird-Party OversightStakeholder Management

Questions & Answers

Common questions about this position

What experience is required for the Claim Governance Analyst role?

Proven claim adjudication or claim operations experience for multi-line commercial claims is required, with claim audit or file review experience desirable. Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus, along with experience in claims analysis, management information, and stakeholder reporting.

What are the main responsibilities of this position?

The role involves performing oversight audits of third-party functions to evaluate Service Level Agreement compliance, conducting monthly quality reviews, generating reports for stakeholders, identifying trends and improvement opportunities, and assisting with data collection for audits and regulatory reporting.

What skills are essential to succeed in this role?

Excellent attention to detail, verbal and written communication skills, ability to influence and manage stakeholder expectations, and the ability to make recommendations on action and improvement plans are essential.

Is the position remote or office-based?

This information is not specified in the job description.

What is the salary or compensation for this role?

This information is not specified in the job description.

AIG

Global insurance provider for individuals and businesses

About AIG

AIG provides a variety of insurance products and services aimed at individuals, families, and businesses. Their offerings include life insurance, retirement planning, and commercial insurance, which help clients manage risk and protect their assets. AIG operates by underwriting insurance policies and managing risk, while also investing the premiums collected to generate income. This company stands out from competitors by not only focusing on traditional insurance but also emphasizing cybersecurity and data protection to keep clients' information safe. AIG's goal is to help clients achieve financial security and peace of mind through comprehensive insurance solutions.

New York City, New YorkHeadquarters

1919Year Founded

IPOCompany Stage

Cybersecurity, Financial ServicesIndustries

10,001+Employees

Benefits

Health, dental, & vision coverage

Flexible Spending Accounts (FSA)

401(k)

PTO

Commuter Expense Reimbursement Account

Risks

Sale of personal travel business may reduce AIG's market presence in travel insurance.

Expansion in Atlanta could pose financial risks if expected growth does not materialize.

Deconsolidation of Corebridge Financial might lead to loss of synergies and increased costs.

Differentiation

AIG offers a wide range of insurance products globally, serving diverse client needs.

Corebridge Financial, a subsidiary, enhances AIG's offerings in retirement planning and financial futures.

AIG emphasizes cybersecurity and data protection, ensuring clients' information remains secure.

Upsides

AI adoption in underwriting and claims processing enhances efficiency and reduces costs for AIG.

InsurTech partnerships offer AIG opportunities to enhance digital capabilities and drive innovation.

Telematics and usage-based insurance allow AIG to offer personalized and flexible products.

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