Senior Claims Specialist
Integrated Specialty Coverages, LLCSalary not specified
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
InsuranceIndustries
Requirements
- Minimum 8 years Workers’ Compensation claim handling experience including CA and AZ claims and other jurisdictions
- State adjuster’s licenses are preferred but not required
- Bachelor’s degree from a four-year college or university preferred
- Technical claim handling and organizational skills
- Strong (oral/written) communication and interpersonal skills
Responsibilities
- Provide technical expertise in handling and directing high valued, complex WC claims involving serious injuries, catastrophic losses and/or complicated litigation, including reserving, negotiating, strategizing, litigating and final disposition of assigned claims
- Manage indemnity, medical and legal aspects of highest valued, complex WC claims for California (CA), Arizona (AZ), and other jurisdictions, through use of various resources (e.g., utilizing medical management services, coordinating independent medical evaluations, pursuing alternate/transitional early return to work)
- Document file activity on a timely basis and accurately detail significant events and outstanding issues
- Engage tools and resources included in litigation management program, where applicable
- Provide approval for all benefits (indemnity, medical, legal/allocated) within authority levels and ensure timely issuance in compliance with statutory requirements and best claim practices
- Evaluate claim exposure on assigned files proficiently with independence to establish appropriate reserves within assigned authority; continually evaluate reserves during life of the claim
- Identify and refer claims evaluated greater than delegated authority to management for guidance and direction
- Convey claim facts, issues and proposed actions proficiently in claim committee forum
- Develop resolution strategy plans (action plans) and continually assess and update to achieve appropriate claim results and timely closure
- Conduct claimant negotiations to achieve claim settlements within authority limits; interact with claimant and/or claimant’s attorney as needed
- May assist other teams with claim reserving, resolution and/or negotiation strategy
Skills
Workers Compensation
Claims Handling
Catastrophic Claims
Litigation
Reserving
Negotiating
Medical Management
Return to Work
Indemnity Management
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
