Senior Complex Claims Examiner at AIG

About the role

What you need to know:

• Reporting to the Casualty and Financial Lines Claims Manager, this is a highly specialised and pressurised position requiring strong administration, technical and customer service skills.  This role proactively investigates, evaluates, negotiates settlement, and resolves all allocated Financial Lines claims, within the allocated authority limits.  The role also develops, maintains, and builds relationships with brokers and other stakeholders both internally and externally

Responsibilities: -

• Interprets policy wordings and adjusts claims in line with the appropriate wording
• Manages 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
• Collaborates and work with Underwriters and other business units as required in risk identification and strategies to achieve departmental goals (financial, client retention, client satisfaction)
• Resolve complex financial lines claims ensuring cost effective and client driven solutions
• Manage a complex diverse workload across all financial 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
• Ensure compliance with the AIG Claims Management and Data quality Requirements
• Manage service levels with appointed 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
• Minimum 3 -5 years working a similar position dealing with financial 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)