Claims, Quality Assurance Specialist - Worker's Compensation at AIG

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

Proven claims experience handling and auditing Workers Compensation claims. Similar experience in other lines of business is desirable
Excellent awareness of industry practices surrounding Claims Handling together with strong technical knowledge of subject matter and ability to apply it to the role
Knowledge of key regulatory and legal requirements relevant to Workers Compensation claims
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 to manage stakeholder expectations
Excellent written output skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation
Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies of the GQA function
Excellent organizational skills
Willingness to work from other AIG offices (up to 25% travel)

Responsibilities

Complete quality reviews on all files within program guidelines while achieving and maintaining calibrated application of Line of Business best practices and claim handling expectations
Organize and execute Benchmark reviews as a Team Lead, including risk assessment, scheduling, sampling, GQA review team oversight, results analysis, stakeholder feedback, addressing queries and reporting of results
Establish and maintain effective communication with Line of Business partners including presentation of constructive feedback in a positive way
Identification of trends and improvement opportunities with follow-up to ensure implementation of meaningful continuous improvement and/or action plan in partnership with claims
Carry out second-line reviews and provide constructive feedback and training where required to drive calibration with our claims partners
Commitment to personal development and skill enhancement

Skills

Key technologies and capabilities for this role

Workers CompensationClaims HandlingClaims AuditingQuality AssuranceRisk AssessmentBenchmark ReviewsRegulatory ComplianceStakeholder FeedbackTeam LeadershipTraining

Questions & Answers

Common questions about this position

Is this a remote position or does it require office work?

The role requires team members to be primarily in the office to support in-person collaboration, with up to 25% travel to other AIG offices.

What skills and experience are required for this role?

Candidates need proven claims experience handling and auditing Workers Compensation claims, excellent attention to detail, strong organizational skills, and excellent verbal and written communication skills. Knowledge of regulatory and legal requirements for Workers Compensation claims, along with experience in claims analysis and stakeholder reporting, is also desirable.

What is the salary or compensation for this position?

This information is not specified in the job description.

What is the company culture like at AIG for this role?

AIG values in-person collaboration as a vital part of its culture to foster effective teamwork and a supportive environment, with Claims teams focused on technical excellence, empathy, efficiency, and continuous improvement through stakeholder feedback.

What makes a strong candidate for this Claims QA Specialist role?

A strong candidate will have proven experience handling and auditing Workers Compensation claims, strong technical knowledge of industry practices and regulations, excellent communication and organizational skills, and the ability to provide constructive feedback and lead benchmark reviews.

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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