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Analyst Complex Claims

AIG

Mexico City, MexicoFull TimeMidH-1B sponsor company
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Location
Mexico City, Mexico
Employment
Full Time
Work model
On-Site
Level
Mid
H-1B history
2 approvals (FY2023)
Posted

About this role

Analyst Complex Claims Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. The role of the complex auto claims analyst aims to collaborate with business segments by providing support, technical expertise, and a partnership-based relationship. The diversity of the business portfolio requires the claims analysis team to possess specialized knowledge across various business areas. This team works collaboratively with business units to support a wide range of products and offerings and manages payments to vendors and policyholders, while the team leader plays a pivotal role in guiding the group toward achieving its objectives.About the role What you need to know: Managing special accounts, handling 60 new claims per month, coordinating internal and external teams, and improving NPS.Your contribution at AIG Manage tourist policy cases and complex claims with discipline, ensuring timely follow-up and meeting departmental metrics (102% closing ratio), while handling 60 new claims per month and maintaining an outstanding caseload of 210 claims.

Duties and Responsibilities

1. Functional Responsibilities: •        Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.  May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary.  Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of claim. •        Provides timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquires according to company policy and procedures.  •        Maintains accurate system data and documentation by collecting, recording, analyzing, and summarizing information.  •        Determines and timely sets appropriate reserves within authority level. •        Identify subrogation opportunities and fraud potential and make appropriate referrals. •        Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits  and providing a high standard of customer service. •        Work with Team Manager/Senior Adjuster to ensuring effective vendor and litigation management on Complex claims within a personal allocation. •        internal stakeholder communication where required •        Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes •        Contribute to maintenance of best practice procedures for Auto Complex claims, consistent with global best practice. •        Demonstrate a basic standard of technical claims competence for handling moderate to lower

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