Complex Claims Examiner- Federal Workers Compensation

AIG; Atlanta (GA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Bonus eligibility

Total Rewards Program

Job summary

AIG is seeking a Complex Claims Director/Examiner to lead Defense Base Act and Federal Workers’ Compensation claims from Atlanta, GA. You will exercise independent decision making with reserve and settlement authority up to $500,000, while mentoring teammates and partnering with underwriting to enhance products.

You will engage with internal stakeholders, brokers, and legal representatives to deliver timely, fair, and cost-effective resolutions, and ensure high-quality service with empathy and

Qualifications

• Knowledge of legal/regulatory and litigation/procedural requirements for Federal Workers Compensation claims.
• Specialist knowledge of Defense Base Act claims is preferred.
• Proven experience in settlement evaluation and negotiation.
• Policy language interpretation accuracy and consistency.
• Ability to think laterally and develop improved working practices.
• Strong communication, time management, administrative and report-writing skills.

Responsibilities

• Handle and investigate Defense Base Act claims with a proactive, best-practice approach.
• Aim for timely cost-effective settlements and protect recovery rights when applicable.
• Provide prompt, effective customer service to differentiate AIG from competitors.
• Build relationships with internal/external stakeholders, including brokers and clients.
• Identify and review suspect/fraudulent claims in line with guidelines.
• Exercise reserve and settlement authority up to $500,000 as appropriate.
• Mentor and provide technical guidance to Claim Representatives.
• Collaborate with underwriting to improve products using claims insights.

Skills

Defense Base Act

Settlement negotiation

Policy language

Communication

Time management

Problem solving

Job description

Join us as a Complex Claims Director/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

• Focused on Workers Compensation within the Federal jurisdiction, this role is an ideal opportunity to develop your expertise in handling and investigating Defense Base Act claims. The aim is deal with claims through a proactive, best practice approach, in line with AIGs quality standards.
• Utilize investigation, claim handling, litigation, and negotiation 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
• 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.
• You will also proactively identify and review suspect/fraudulent claims on a consistent basis - dealing with such claims in line with our clear guidelines.
• Claims could be of unlimited value but utilize independent decision making with reserve and settlement authority up to $500,000.
• Provide mentoring and technical guidance to Claim Representatives
• In addition, you can use the claims experience you gain to help improve our products in collaboration with colleagues in underwriting.

What you'll need to succeed

• Knowledge of legal / regulatory and litigation / procedural requirements for Federal Workers Compensation claims.
• Specialist knowledge of Defense Base Act claims is preferred.
• Proven 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.

Compensation 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.

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 [e-mail] .

Functional Area

CL - Claims

AIG Claims, Inc.