Claims Examiner Sr WS
About The Position
Join us as a Senior Claims 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. How you will create an impact 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 genuine claims through a proactive, best practice approach, in line with AIGs quality standards – you will actively promote and demonstrate the principles of ‘Treating Customers Fairly’ in claims handling. You will also proactively identify and review suspect/fraudulent claims on a consistent basis – dealing with such claims in line with our clear guidelines. Your work will involve regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, victims 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 have the opportunity to grow your experience by providing support to Team Managers and deputizing in their absence. For example, you will assist with monitoring market/industry practices in claims handling. 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
- Handling and investigating Defense Base Act claims.
- Dealing with genuine claims through a proactive, best practice approach, in line with AIGs quality standards.
- Actively promote and demonstrate the principles of ‘Treating Customers Fairly’ in claims handling.
- Proactively identify and review suspect/fraudulent claims on a consistent basis.
- Regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, victims or their legal representatives.
- Build effective relationships with internal and external customers, while acting as a point of referral.
- Provide support to Team Managers and deputizing in their absence.
- Assist with monitoring market/industry practices in claims handling.
- 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.
- US Benefits Overview
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
