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AIG

Underwrites insurance for businesses and individuals

Claims Examiner - Federal Workers’ Compensation

Claims AdjudicationUpdated on Nov 13
Full-time

About the Job

Requirements

  • Knowledge of legal, regulatory, litigation, and procedural requirements for workers’ compensation claims.
  • Experience in settlement evaluation and negotiation.
  • Policy language skills to interpret policy wording accurately and consistently.
  • Ability to think laterally, solve problems, and develop ideas to improve working practices.
  • Strong communication, time management, administrative, and report-writing skills.

Responsibilities

  • Provide technical expertise in proactively directing and resolving Defense Based Act claims in accordance with best claim practices and AIG quality standards.
  • Manage indemnity, medical, and legal aspects of assigned claims using available resources.
  • Use 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.
  • Identify and review suspect or fraudulent claims consistently, handling them in line with established guidelines.
  • Maintain regular contact with internal stakeholders and brokers, medical experts, clients’ lawyers, injured workers, and their legal representatives; build effective relationships with internal and external customers and act as a point of referral.
  • Use claims experience to help improve products in collaboration with underwriting colleagues.

Desired Qualifications

  • Specialist knowledge of Defense Base Act claims is preferred.

About the Company

AIG

Underwrites insurance for businesses and individuals

AIG underwrites property and casualty insurance for businesses and individuals, covering losses from damaged assets, legal claims and personal accidents. Its commercial policies span risks such as cyberattacks, shipping losses and aviation accidents, while personal coverage includes accident and health insurance and protection for valuable homes. Brokers and agents connect clients with insurers that assess risks, set premiums and handle claims under each policy's terms. The group earns insurance premiums and investment income on assets held to meet future claims. Its operating roots date to Shanghai in 1919, and its headquarters are in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1919

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