Claims Examiner - Federal Workers’ Compensation

American International Group, Inc.

Georgia

On-site

USD 70,000 - 100,000

Full time

5 days ago
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Benefits offered by this job

Competitive benefits
Bonus eligibility
Total Rewards Program

Job summary

American International Group, Inc. is seeking a Claims Examiner to support Federal Workers’ Compensation claims in a primarily in-office environment across GA locations.

You will provide technical expertise, manage indemnity, medical and legal aspects, and strive for timely, cost-effective settlements while maintaining high service standards. You will work with internal teams, brokers and clients’ lawyers, applying knowledge of Defense Base Act claims and regulatory requirements to ensure

Qualifications

  • Knowledge of legal/regulatory and procedural requirements for Workers' Compensation claims.
  • Specialist knowledge of Defense Base Act claims preferred.
  • Experience in settlement evaluation and negotiation.
  • Policy language skills enabling accurate and consistent policy wording interpretation.
  • Lateral thinking and problem solving to improve practices.
  • Strong communication, time management, administrative and report-writing skills.

Responsibilities

  • Provide technical expertise directing and resolving Defense Based Act claims per quality standards.
  • Manage indemnity, medical and legal aspects of assigned claims using available resources.
  • Utilize investigation, claim handling, litigation and evaluation skills to settlements.
  • Provide prompt customer service and identify suspect/fraudulent claims per guidelines.
  • Collaborate with internal stakeholders, brokers, clients’ lawyers and injured workers.

Skills

Defense Base Act knowledge
Negotiation
Policy interpretation
Communication
Time management
Administrative skills
Report writing

Tools

Regulatory knowledge

Job description

## Claims Examiner - Federal Workers’ CompensationApplylocations: GA-Atlanta: KS-Lenexa: TX-Houston: CT-Farmington: NC-Charlottetime type: Full timeposted on: Posted 30+ Days Agojob requisition id: JR2601005At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner to grow your career at the forefront of Federal Workers Compensation insurance.**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*** Provide technical expertise in proactively directing and resolving Defense Based Act claims in accordance with best claim practice approach, in line with AIGs quality standards.* Manage indemnity, medical and legal aspects of assigned claims using available resources.* Utilize investigation, claim handling, litigation, and claim evaluation skills to ensure timely cost- effective claim settlements and protect recovery rights when applicable.* Provide prompt effective customer service to differentiate AIG from our competitors.* You will also proactively identify and review suspect/fraudulent claims on a consistent basis – dealing with such claims in line with our clear guidelines.* Your work will involve regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, injured workers or their legal representatives. We want you to build effective relationships with internal and external customers, while acting as a point of referral.* In addition, you can use the claims experience you gain to help improve our products in collaboration with colleagues in underwriting.**What you will need to succeed*** Knowledge of legal / regulatory and litigation / procedural requirements for Workers Compensation claims.* Specialist knowledge of **Defense Base Act** claims is preferred.* Experience in settlement evaluation and negotiation.* Policy language skills enabling accurate and consistent policy wording interpretation.* Lateral thinking and the ability to problem solve and develop new ideas to improve working practices.* Strong communication, time management, administrative and report-writing skills.Ready to step up to new challenges? We look forward to reviewing your application. Veterans encouraged to apply.#LI-SR1 #insurancejobs #insurancecareers #insuranceclaims #claimsexaminerCompensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan. In addition, we’re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview.At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.**Enjoy benefits that take care of what matters**At 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 world**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.**Welcome to a culture of inclusion**We’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 learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent 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.
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