Claims Adjuster II, Accident & Health

At AIG we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster II Accident & Health to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team.

Make your mark in Accident and Health 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

The Claims Adjuster II Accident and Health will be responsible to handle all aspects of claim resolution for assigned claims while providing world class service to external and internal customers.

Confirmcoverage of claims (AD&D accident and sickness claims critical illness hospital cash claims out of country medical and business-related travel claims) by reviewing policies and documents submitted in support of claims.

Analyze coverage and communicate coverage position.

Conduct coordinate and direct investigation into loss facts.

Determine eligibility of claims and amounts owed under the terms of the contract.

Recognize and pursue subrogation where warranted.

Recognize and make appropriate Risk and Fraud referrals.

Operate within our best practices guidelines including timely reserve review notes payment requests electronic diary.

Other duties as assigned.

What youll need to succeed

Insurance claims experience of at least 1 year(s) with exposure to Accident and Health claims preferred and / or sickness and accident benefits type injury claims or any related experience.

College / University or equivalent industry experience.

CIP or CRM designation preferred

Proficient computer skills to navigate paperless claim file system.

Excellent written verbal communication and interpersonal skills.

Ability to manage workload effectively and efficiently / ability to prioritize is essential.

Willingness to work closely with colleagues on skill development.

Ability to read and interpret insurance policies.

A highly organized individual with ability to work in a high pace environment.

Bilingual (Spanish) a plus

Ready to take your career to the next level We would love to hear from you.

At AIG we value in-person collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.

#LI-PA1 #accidentaldeath

At AIG we value in-person collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.

Enjoy benefits that take care of what matters

At AIG our people are our greatest asset. We know how important it is to protect and invest in whats most important to you. That is why we created our Total Rewards Program a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks. It is an exciting time to join us across our operations we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG you can go further to support individuals businesses and communities helping them to manage risk respond to times of uncertainty and discover new potential. We invest in our largest asset our people through continuous learning and development in a culture that celebrates everyone for who they are and what they want to become.

Welcome to a culture of inclusion

Were committed to creating a culture that truly respects and celebrates each others talents backgrounds cultures opinions and goals. We foster a culture of inclusion and belonging through learning cultural awareness activities and Employee Resource Groups (ERGs). With global chapters ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIGs greatest assets and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

AIG provides equal opportunity to all qualified individuals regardless of race color religion age gender gender expression national origin veteran status disability or any other legally protected categories.

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation please send an email to .

Functional Area : CL - Claims

AIG Claims Inc.

Key Skills

Load & Unload,Organizational skills,Financial Concepts,Fraud,Math,Mediation Experience,Pricing,Conflict Management,Workers' Compensation Law,Medicare,negotiation,Workers' Compensation

Employment Type : Full-Time

Experience : years

Vacancy : 1