Job Description

Claim Compliance Reviewer

Join us as a Claims Compliance Reviewer to make more of your specialist expertise and experience.

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

• Demonstrated ability to complete monthly oversight quality reviews on services provided by third party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims.
• Generate monthly reports that are reviewed with key stakeholders that effectively capture the prior month performance. Performance below expectation results in the development of an action plan in coordination with key stakeholders.
• Identification of trends and improvement opportunities with follow-up to identify opportunities for new audits to evaluate performance and support claim handling performance.
• Assist with the collection of data to support audit or regulatory reporting requirements. This includes industry and state requests as well as collaborating with outside auditors reviewing the oversight audits.
• Establish and maintain effective communication with third party contractors, internal teams and state contacts to support ongoing efforts to improve performance and efficiency.
• Assist with the review of controls with other departments to identify potential impacts from upcoming projects.

• Commitment to professional development and personal skill enhancement.

What you'll need to succeed

• Proven claim adjudication or claim operations experience for multi-line commercial claims. Claim Audit or file review experience is desirable.
• Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus.
• Experience in claims analysis, management information and stakeholder reporting desirable.
• Ability to make recommendations on action and improvement plans.
• Excellent attention to detail.
• Excellent verbal and written Communication skills, ability to influence and to manage stakeholder expectations.
• Excellent written communication skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation.
• Ability to address queries, disputes, challenges through the oversight audit cycle while maintaining the philosophies of the Governance Oversight control and objective.
• Excellent organizational skills.

Ready to accelerate your career? We would love to hear from you.

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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 belonging

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 our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity 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 [email protected] .

Functional Area:

CL - Claims

Estimated Travel Percentage (%): No Travel

Relocation Provided: No

AIG Claims, Inc.

Job Tags

For contractors, Relocation, Flexible hours,

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