Claims Examiner A&h

Johannesburg, Gauteng, South Africa

Job Description


Provide an efficient and professional Claims service to customers through prompt and fair settlement of Claims within mandate.Contribute to business development and retention through positioning Claims and Claims service as an AIG product.PRINCIPLE DUTIES AND RESPONSIBILITIES:Claims AdministrationRegister the Claim according to procedureSet appropriate reserves in line with policyDetermine if the loss is covered in terms of the policyAssess the Claim based on accurate interpretation of policy wording in place: refer Claims outside Claims mandateAppoint / recommend appointment of loss adjusters and/or relevant experts: provide appropriate settlement instructionsFollow Claims settlement process to ensure timely settlement of Claims and feesConduct timely, professional follow-up correspondence with Clients and Brokers, including Claims rejectionProvide reports to Claims Manager in line with Claims policiesCustomer ServiceEstablish and maintain excellent levels of customer service, with particular attention to:Responsiveness - speed of service deliveryQuality of service renderedAdherence to internal and external SLAsExpense controlManage all expenses within budget. Continuously work to reduce the expense ratio through constant attention to efficiencies and opportunities to maximize productivity through streamlining of processesAudit and ComplianceEnsure adherence with and implementation of all claims compliance controls as may be specified from time to time by the Claims Manager.What were looking for:QualificationMatricShort Term Insurance qualification preferredFAIS compliantExperienceMinimum of 3 years experience as Claims Examiner, including experience in specific Line of Business, as appropriate.Core Competencies Requirements:Dealing with AmbiguityCustomer FocusNegotiatingDrive for ResultsBusiness AcumenProblem SolvingInterpretation of legal agreementsPolicies for RegulationsPortfolio ManagementReimagining insurance to make a bigger difference to the worldAmerican International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds 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 belongingWere committed to creating a culture that truly respects and celebrates each others 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 AIGs 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 .Preference will be given to previously disadvantaged candidates in line with the companys Employment Equity Plan. Specific preference will be given to people with disabilities.Functional Area: CL - ClaimsAIG South Africa

AIG

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Job Detail

  • Job Id
    JD1371899
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, Gauteng, South Africa
  • Education
    Not mentioned