Complex Claims Examiner- Federal Workers Compensation

AIG Insurance • Atlanta, GA

39d • Onsite

About The Position

Join us as a Complex Claims Director/Examiner to grow your career at the forefront of Federal Workers Compensation insurance. 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. Focused on Workers Compensation within the Federal jurisdiction, this role is an ideal opportunity to develop your expertise in handling and investigating Defense Base Act claims. The aim is deal with claims through a proactive, best practice approach, in line with AIGs quality standards. Utilize investigation, claim handling, litigation, and negotiation skills to ensure timely cost- effective claim settlements and protect recovery rights when applicable. Provide prompt effective customer service to differentiate AIG from our competitors Your work will involve regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, injured workers or their legal representatives. We want you to build effective relationships with internal and external customers, while acting as a point of referral. You will also proactively identify and review suspect/fraudulent claims on a consistent basis – dealing with such claims in line with our clear guidelines. Claims could be of unlimited value but utilize independent decision making with reserve and settlement authority up to $500,000. Provide mentoring and technical guidance to Claim Representatives In addition, you can use the claims experience you gain to help improve our products in collaboration with colleagues in underwriting.

Requirements

• Knowledge of legal / regulatory and litigation / procedural requirements for Federal Workers Compensation claims.
• Proven experience in settlement evaluation and negotiation.
• Policy language skills enabling accurate and consistent policy wording interpretation.
• Lateral thinking and the ability to problem solve and develop new ideas to improve working practices.
• Strong communication, time management, administrative and report-writing skills.

Nice To Haves

• Specialist knowledge of Defense Base Act claims is preferred.

Responsibilities

• Handle and investigate Defense Base Act claims.
• Deal with claims through a proactive, best practice approach, in line with AIGs quality standards.
• Utilize investigation, claim handling, litigation, and negotiation skills to ensure timely cost- effective claim settlements and protect recovery rights when applicable.
• Provide prompt effective customer service to differentiate AIG from our competitors.
• Build effective relationships with internal and external customers, while acting as a point of referral.
• Proactively identify and review suspect/fraudulent claims on a consistent basis – dealing with such claims in line with our clear guidelines.
• Provide mentoring and technical guidance to Claim Representatives.
• Use claims experience to help improve products in collaboration with colleagues in underwriting.

Benefits

• Eligibility for a bonus in accordance with the terms of the applicable incentive plan.
• 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: Manager
• Education Level: No Education Listed