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AIG · 3 hours ago

Claims Examiner III, Accident & Health

KS-Lenexa

Full-time

Onsite

Mid Level

3+ years exp

AIG is a global leader in commercial and personal insurance solutions, seeking a Claims Examiner III in Accident & Health to enhance their claims handling process. The role involves managing various types of personal accident and health claims, ensuring compliance with operational guidelines, and providing exemplary service to clients and stakeholders.

BankingFinancial ServicesInsurance

Responsibilities

Confirm coverage of claims (AD&D, accident and sickness claims, critical illness, hospital cash claims, out of country medical and business-related travel claims) by reviewing policies and documents submitted in support of claims

Analyze coverage and communicate coverage position

Conduct, coordinate, and direct investigation into loss facts

Determine eligibility of claims and amounts owed under the terms of the contract

Recognize and pursue subrogation where warranted

Recognize and make appropriate Risk and Fraud referrals

Operate within our best practices guidelines, including timely reserve review, notes, payment requests, electronic diary

Other duties as assigned

Qualification

Insurance claims experienceAccidentHealth claimsState LicensingProficient computer skillsInterpret policiesWorkload managementCommunication skillsOrganizational skillsTeam collaboration

Required

College/University or equivalent industry experience

State Licensing required, or will need to be obtained

Proficient computer skills to navigate paperless claim file system

Excellent written, verbal communication, and interpersonal skills

Ability to manage workload effectively and efficiently/ability to prioritize is essential

Willingness to work closely with colleagues on skill development

Ability to read and interpret insurance policies

A highly organized individual with ability to work in a high pace environment

Preferred

Insurance claims experience of at least 3+ year(s) with exposure to Accident and Health claims preferred, and/or, sickness and accident benefits type injury claims or any related experience