Claims Examiner - Third Party
AIG
About the role
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.
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.
Requirements
- Negotiation Skills
- Conflict resolution skills
- Math Skills
- Good Communication Skills
- Interpersonal Skills
Benefits
- Negotiation Skills
- Conflict resolution skills
- Math Skills
- Good Communication Skills
- Interpersonal Skills
About the Company
American 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.
Job Details
Salary Range
$122,200 - $135,800/yearly
Location
Johannesburg, South Africa
Employment Type
Full-time
Original Posting
View on company website