Claims analyst II, Accident & Health

AIG • Toronto, ON

1d • CA$61,000 - CA$67,900 • Onsite

About The Position

AIG Canada has launched careers and developed future leaders for 60 years. At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. 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.

Requirements

• A highly organized individual with ability to work in a high pace, team oriented environment.
• Insurance claims experience of at least 1+ year(s) with exposure to Accident and Health claims, which include sickness and bodily type injury claims or any related experience handling complex risks.
• Superior customer services skills and ability to help manage response timelines and reporting requirements, such as under performance guarantees
• Above average computer and organizational skills
• Excellent written and verbal communication skills with an ability to handle customer appeals.
• Ability to read and interpret insurance policies and act as liaison with Underwriting as needed.
• Ability to coach and develop others.

Responsibilities

• Handle all aspects of claim resolution for assigned claims while providing world class service to external and internal customers.
• Handle Accident & Health claims as part of the A&H team, handling claims such as A&D, permanent and total disability, critical illness and/or accident and sickness, medical evacuation, trip cancellation, out of country medical etc., including key accounts that may have performance guarantees.
• Confirm coverage of claims by reviewing policies and documents submitted in support of claims; analyze coverage and communicate coverage position.
• Conduct, coordinate, and direct investigation into loss facts; Determine eligibility of claims and amounts owed under the terms of the contract.
• Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals.
• Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer escalations and file audits as needed.
• Assist with team development and guidance.
• Innovative mindset to help drive process improvement.
• Other duties as assigned.

Benefits

• bonus in accordance with the terms of the applicable incentive plan
• competitive benefits
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed