Claims Examiner - Third Party at AIG

Responsibilities:

• Receive approaches from uninsured and insured third parties, acknowledge receipt.
• Register and validate third party only claims.
• Assess and confirm merits of the claims.
• Request quantum/ outstanding documents from the third party if applicable.
• Decide if claim is payable based on documentation provided.
• Appoint assessor based on claim specification.
• Provide updates to third party and insured/broker.
• Review assessment and draft offer for third party
• Negotiate fair offer with third party.
• Send offer and facilitate settlement of signed offer.
• Close files once settled.
• Record savings on spreadsheet
• Maintain relationship with assessors, other insurers and broker/insureds(Litigation)
• Receive Summons and acknowledge receipt.
• Verify legitimacy of claim
• Review summons and decide on action.
• Appoint attorney based on summon’ s specification.
• Provide attorney with instruction and documents.
• Follow up with attorney.
• Guide attorney on acceptable offer and parameters of negotiating.
• Settle attorney fees based on acceptable fee scale.
• Negotiate with attorneys on fees based on settlements.
• Maintain relationship with attorneys and investigators.

Skills

• Negotiation Skills
• Conflict resolution skills
• Math Skills
• Good Communication Skills
• Interpersonal Skills