Complex Claims Adjuster

Handle and investigate all complex claims for Travel, Personal Accident, Cancer and Income Protection that have been allocated in accordance with agreed internal service levels, best practice requirements and against policy conditions.

Responsibilities not listed.

• Strong verbal and written communication skills
• Time management - Ability to handle multiple priorities, organise work and meet deadlines
• Strong administrative and report writing skills
• Attention to detail
• The ability to problem solve and develop new ideas to improve working practices
• Lateral thinking
• Strong customer service skills with Negotiating skills
• A very knowledge of subject matter and ability to apply it to the role

• Handle and investigate all complex claims for Travel, Personal Accident, Cancer and Income Protection
• Develop and maintain technical and soft skills to enable accurate assessment and reserving of complex travel, temporary total disablement and permanent disablement and fatal accident claims
• Promote compliance with best practice for all aspect of claims assessment for travel and personal accident claims across the A&H book of business
• Provide support to Team Manager on an ongoing basis and act as referral point for colleague disseminating learning
• Assist Team managers with monitoring market/industry practices in claims handling and update the team on a timely basis
• Build relationship with internal and external customers acting as point of referral
• Complaints Champion for A & H Claims
• Proactively identify and review suspect/fraudulent claims on a consistent basis
• Deal with suspect/fraudulent claims in accordance with internal fraud guidelines utilising approved suppliers
• Act as referral point for peers encouraging the use of Key Fraud Indicators
• Assist in the maintenance of procedural guides and training of less experienced staff on an ongoing basis
• Focus efforts on continuously revitalising best practice standards including proactive Treating Customer Fairly & Fraud Management, reviewing processes and make recommendations to improve and update where appropriate
• Project a positive image of the claims Department at all times leading by example

American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions.