Claim Governance Analyst

AIG Insurance • Lenexa, KS

4d • Onsite

About The Position

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claim Governance Analyst to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. About the role The Claim Governance and Control team is looking to recruit a talented individual with working knowledge of commercial or personal line claim operations for the purpose of conducting claim handling or claim operational oversight audits. The primary responsibility is to 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. Additional duties include: Gathering of data for compliance with claim audit requests or for regulatory reporting. Completion of 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. Performance below expectation results in the development of an action plan in coordination with key stakeholders. Identification of 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. This includes industry and state requests as well as collaborating 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.

Requirements

• Proven claim adjudication or claim operations experience for multi-line commercial claims.
• 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 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.

Nice To Haves

• 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.

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.
• Gathering of data for compliance with claim audit requests or for regulatory reporting.
• Completion of 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.
• Performance below expectation results in the development of an action plan in coordination with key stakeholders.
• Identification of 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.
• 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.

Benefits

• At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees