Complex Claims Adjuster – Accident & Health

Complex Claims Adjuster – Accident & Health

Croydon,

The UK Claims department exists to deliver our claims promise to our customers. Our aim is to provide each customer with a superior claims experience and to pay claims, amounting to an average of almost £33.6 m each week, quickly and efficiently. We have around 350 skilled and experienced employees and we pride ourselves on the strong relationships we build with brokers and clients, panel solicitors, loss adjusters and other expert service providers.

We are recruiting a Complex Claims Adjuster – Accident & Health to join our main office in Croydon.

Primary responsibilities will be
– Proactive assessment and management of claims within the agreed settlement authority limit
– Delivery of a customer focused service at all times whilst operating within a legal regulatory framework.
– Handle and investigate allocated medium complexity claims against policy conditions and in accordance with best practice requirements within agreed operating authority limit.
– Develop and maintain technical and soft skills to enable accurate assessment and reserving of temporary total disablement, permanent disablement and fatal accident claims.
– Promote best practice for handling for personal accident claims across all lines of business, knowing the specific procedures and processes that are applicable to Leisure policies versus Corporate policies within agreed Service Levels.
– Develop and maintain knowledge to moderate level of medical terminology and demonstrate translation in to layman terms on a day to day basis. Review and assess medical reports of to determine the appropriate loss of function.
– Ensure compliance with Legal & Regulatory framework which directly affects the claims function including FSA ICOB 7 – Claims Handling, the Jurisdiction of the FOS and its approach to claims handling, Sarbanes Oxley and Legal Landmark Rulings and the effects these have on the day to day claims environment. Proactively demonstrate the key principles of Treating Customers Fairly in claims handling.

The successful candidate will possess the following skills and experience:
– Claims Adjusting, Underwriting, brokerage or solicitor background, required
– Experience of dealing with Personal accident claims, including disablement, Head injury, back injury, required
– Understanding of medical terminologies, required
– Experience of dealing with direct consumers and brokers – commercial claims, preferable
– Strong verbal and written communication skills;
– Well developed negotiation and dispute resolution skills;
– Time management – Ability to handle multiple priorities, organise work and meet deadlines;
– Attention to detail and accuracy
– The ability to problem solve and develop new ideas to improve working practices

About AIG

American International Group, Inc. (AIG) is a leading international insurance organization serving customers in more than 130 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the United States.

AIG Property Casualty is a global market leader, one of the few truly global property casualty franchises.
AIG Life and Retirement is one of the largest life insurance organizations in the U.S., and provides protection, investment and income solutions needed for financial and retirement security.
United Guaranty Corporation is the marketplace leader in mortgage insurance in the U.S.

Additional information about AIG can be found at | YouTube: /aig | Twitter: @AIG_LatestNews | LinkedIn: /company/aig