Casualty Claims Examiner at AIG

About the role

What you need to know:

Reporting to the Casualty Claims Manager, this is a highly specialised and pressurised position requiring strong administration, technical and customer service skills to resolve complex Casualty claims.  Responsible for resolving claims; coverage determinations, investigation, verification and analysing data to determine entitlement of claims; ensuring claims validity; accurate payments and reserves set up; maintenance of claims files and records;  communications with and reporting to brokers as required; and settlement of claims fairly and promptly.

Responsibilities: -

• Proactively investigate, evaluate, negotiate settlement, and resolve all allocated Casualty Claims
• Ensure claims are handled within the allocated authority limits.
• Interpret policy wordings adjust claims in line with the appropriate wording.
• Develop, maintain, and build relationships with brokers and other stakeholders both internal and externally.
• Manage service providers, Attorneys and Loss Adjustors to achieve costs effective and excellent service to our clients.
• Focus on speedy claims finalisation without appointment of panel attorneys where possible.  Resolve complex casualty claims ensuring cost effective and client driven solutions.
• Collaborate and work with Underwriters and other business units as required in risk. identification and strategies to achieve departmental goals (financial, client retention, client satisfaction).
• Deliver best-in-class assistance to brokers and clients throughout the claims process while directing cases to satisfactory resolutions.
• Ensure that required documentation to assess the claim is received.
• Posting accurate timely reserves for each claim handled, ensure updated timely based on the development of the claim; and review entire assigned portfolio on regular basis to ensure overall reserve adequacy.
• Maintain a close coordination with the service providers and brokers.
• Report on trends observed and policy wording and schedule issues.
• Identify claims with potential recovery / salvage.
• Manage a complex diverse workload across all casualty lines of business including but not limited to large quantum, local and international claims and litigated and non-litigated claims.
• Actively evaluate and determine coverage.
• Determine, raise, and monitor reserves in line with the AIG reserving philosophy.
• Support team as and when required.
• Ensure compliance with the AIG Claims Management and Data quality Requirements.
• Manage service levels with appointment of service providers (Attorneys and Loss Adjustors)
• Accurate and timeously payments of claim settlements and service provider invoices
• Ad Hoc duties as required.

What we’re looking for:

• Bcom / Bcom Law or LLB Degree
• Experience working a similar position dealing with Casualty Lines Claims
• Strong administration, customer service and technical skills
• Understand legal processes and procedures, litigation management and litigation avoidance techniques
• Ability to work in a highly pressurised environment
• Ability to work independently but take instruction when required
• Effective time Management and diary skills 
• Computer Literate (Word, Excel, and PowerPoint)
• Excellent communication skills (written and verbal)