Claims Examiner II, Accident & Health

Claims Examiner II, Accident & Health

• Handle claims as part of the A&H team, handling Identity Theft and/or accident and sickness including key accounts that may have performance guarantees
• Confirm coverage of 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 and make appropriate Risk and Fraud referrals
• Contact with individual customers with ability to explain claim process, policy benefits, and claim outcomes
• Ability to handle escalations with empathy and provide final resolution
• Innovative mindset to help drive process improvement
• Other duties as assigned

• A highly organized individual with ability to work in a high pace, team-oriented environment
• Insurance claims experience of at least 1+ year(s) with exposure to Identity Theft and/or Accident and Health claims
• Superior customer services skills and ability to help manage response timelines and reporting requirements, such as under performance guarantees
• Above average computer and organizational skills
• Excellent written and verbal communication skills with an ability to handle customer escalations and appeals
• Ability to read and interpret insurance policies and act as liaison with Underwriting as needed
• Accident and Health State Adjuster licenses a plus, and job contingent after hire
• Bilingual (Spanish) a plus

• 401k matching
• Health insurance
• Flight privileges

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions