Senior Claims Management Analyst
Senior Claims Management AnalystJoin us as a Senior Claims Analyst to grow your experience in handling complex claims.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
Oversees claim specific TPA activities involving policy coverage and management of indemnity, medical and legal aspects of highest valued, complex claims.
Reviews and analyzes TPA claim financials to ensure payments are appropriate and accurately coded, deductibles/retentions are properly eroded, and excess reimbursements are processed timely and accurately.
Completes an independent analysis and evaluates claim exposure on assigned files with a focus on establishing appropriate reserves within assigned authority and in recognition AIG’s of exposure above the deductible. Continually evaluates reserves during life of the claim to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims evaluated greater than assigned authority.
Works with, and provides direction to, TPAs to develop resolution strategy plans (action plans). Continually assesses and updates plans to achieve appropriate claim results and timely closure. Provides settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits.
Reviews claims for subrogation opportunities and evaluates requests for WC lien waivers.
Acts as technical expert responsible for completion of Major Loss Reports (MLRs) for assigned cases detailing significant reserve activity and disposition strategies on the highest value/most complex claims.
Needs experience managing Major Loss and CAT claims.
Multiple jurisdiction experience and licensing preferred.
Communicates with internal and external customers on complex technical issues and participates in external customer claim file reviews and audits as required.
Investigates TPA E&O and pursues recovery, where applicable.
What you’ll need to succeed
Minimum of 10+ years of workers compensation claim handling experience
Bachelor’s degree from a 4-year college or university (preferred)
Ability to make independent decisions within prescribed authority limit
Strong (oral/written) communication and interpersonal skills
Ready to accelerate your career? We would love to hear from you.#LI-NT1Enjoy benefits that take care of what mattersAt AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s 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 security—as well as your professional development—to bring peace of mind to you and your family.Reimagining insurance to make a bigger difference to the worldAmerican International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s 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 belongingWe’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s 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 candidatecare@aig.com . Functional Area:CL - ClaimsAIG Claims, Inc.