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AIG

Underwrites insurance for businesses and individuals

Complex 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 Federal Workers Compensation claims.
  • Proven experience in settlement evaluation and negotiation.
  • Policy language skills that enable accurate and consistent policy wording interpretation.
  • Ability to think laterally, solve problems, and develop new ideas to improve working practices.
  • Strong communication, time management, administrative, and report-writing skills.

Responsibilities

  • Handle and investigate Federal Workers Compensation claims, including Defense Base Act claims, using a proactive, best-practice approach aligned with quality standards.
  • Use investigation, claim handling, litigation, and negotiation skills to achieve timely, cost-effective claim settlements and protect recovery rights when applicable.
  • Provide prompt and effective customer service.
  • Maintain regular contact with internal stakeholders, brokers, medical experts, clients’ lawyers, injured workers, and their legal representatives; build effective relationships and act as a point of referral.
  • Proactively identify and review suspect or fraudulent claims and handle them according to established guidelines.
  • Exercise independent decision-making with reserve and settlement authority up to $500,000 on claims that may have unlimited value.
  • Provide mentoring and technical guidance to Claim Representatives.
  • Collaborate with underwriting colleagues to use claims experience to help improve products.

Desired Qualifications

  • Specialist knowledge of Defense Base Act claims.

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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