Senior Claims Specialist
Integrated Specialty Coverages, LLCSalary not specified
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
InsuranceIndustries
Requirements
- Ability to analyze auto complex claims under segmentation rules and claims procedures
- Proficiency in adjusting reserves, issuing payments to vendors, third parties, and/or insureds
- Capability to identify fraud indicators and refer claims to investigation
- Experience managing reservations, payments, deductibles, and recoveries
- Knowledge of acceptable investigation claims handling and settlement techniques for cost-effective and timely closure
- Skills in obtaining, reviewing, analyzing documentation, policy provisions, and other records
- Ability to contact parties such as employers, claimants, third parties (e.g., medical providers, auto repair centers)
- Proficiency in utilizing diary system to pro-actively resolve issues and ensure timely processing/closure
- Capacity to meet service level agreements, initiate timely contact, and respond to inquiries per company policy
- Ability to maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information
- Competence in determining and setting appropriate reserves within authority level
- Ability to identify subrogation opportunities and fraud potential
Responsibilities
- Analyze auto complex claims, adjust reserves, and issue payments (to vendors, third parties, and/or insureds)
- Identify fraud indicators and refer claims to investigation
- Manage reservations, payments, deductibles, and recoveries
- Utilize investigation claims handling and settlement techniques to achieve cost-effective and timely closure by reviewing documentation, policy provisions, and records
- Contact additional parties (e.g., employers, claimants, medical providers, auto repair centers) as necessary
- Use diary system to pro-actively resolve outstanding issues and ensure timely processing and closure
- Provide timely service throughout the claim life by meeting service level agreements, initiating contact, and responding to inquiries
- Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information
- Determine and timely set appropriate reserves within authority level
- Identify subrogation opportunities and fraud potential and make appropriate referrals
Skills
Claims Analysis
Reserve Adjustment
Payments Processing
Fraud Detection
Claims Investigation
Settlement Techniques
Policy Review
Customer Contact
Diary Management
Service Level Agreements
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
