Senior Claims Management Analyst

Posted 13 Days Ago
Be an Early Applicant
2 Locations
Senior level
Insurance
The Role
The Senior Claims Management Analyst oversees complex claims, managing TPA activities, analyzing financials, implementing reserve strategies, and working with stakeholders to reach settlements. The role requires communication with clients and ensures compliance with policies and regulations.
Summary Generated by Built In

Senior Claims Management Analyst

Join us as a Senior Claims Analyst to grow your experience in handling complex claims.

Make your mark in Claims.

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. 

How you will create an impact

  • Oversees claim specific TPA activities involving policy coverage and management of indemnity, medical and legal aspects of highest valued, complex claims. 
  • Reviews and analyzes TPA claim financials to ensure payments are appropriate and accurately coded, deductibles/retentions are properly eroded, and excess reimbursements are processed timely and accurately.
  • Completes an independent analysis and evaluates claim exposure on assigned files with a focus on establishing appropriate reserves within assigned authority and in recognition AIG’s of exposure above the deductible. Continually evaluates reserves during life of the claim to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims evaluated greater than assigned authority.
  • Works with, and provides direction to, TPAs to develop resolution strategy plans (action plans). Continually assesses and updates plans to achieve appropriate claim results and timely closure. Provides settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits.
  • Reviews claims for subrogation opportunities and evaluates requests for WC lien waivers.
  • Acts as technical expert responsible for completion of Major Loss Reports (MLRs) for assigned cases detailing significant reserve activity and disposition strategies on the highest value/most complex claims.
  • Needs experience managing Major Loss and CAT claims.
  • Multiple jurisdiction experience and licensing preferred.
  • Communicates with internal and external customers on complex technical issues and participates in external customer claim file reviews and audits as required.
  • Investigates TPA E&O and pursues recovery, where applicable. 

What you’ll need to succeed

  • Minimum of 10+ years of workers compensation claim handling experience
  • Bachelor’s degree from a 4-year college or university (preferred)
  • Ability to make independent decisions within prescribed authority limit
  • Strong (oral/written) communication and interpersonal skills

Ready to accelerate your career? We would love to hear from you.

#LI-NT1

Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s 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 belonging

We’re committed to creating a culture that truly respects and celebrates each other’s 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 AIG’s 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 [email protected].  

Functional Area:

CL - Claims

AIG Claims, Inc.

Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: New York, NY
49,681 Employees
On-site Workplace
Year Founded: 1919

What We Do

We're a leading global insurance organization with operations in more than 80 countries and jurisdictions. We provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to support our clients in business and in life through our General Insurance, Life & Retirement and Investments business units.

What unites us across all of these offerings is our commitment to helping individuals, businesses and communities prepare for and respond to times of uncertainty. Whether serving those facing natural disasters or millions of Americans striving for a financially secure retirement, we have the specialist expertise to help clients better manage risk.

We’re also committed to doing the right thing for our people and the communities where we work and live. It’s why we seek to offer what matters to our ever-diversifying team - like flexible and creative work environments, professional growth opportunities and forums to advocate for one another and incite change. We encourage employees to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs.

Join us as we share our stories from around the organization. #LifeatAIG

AIG Social Media Community Guidelines: https://www.aig.com/communityguidelines

Facebook: http://www.facebook.com/AIGInsurance
Twitter: http://twitter.com/AIGinsurance
YouTube: http://www.youtube.com/aig

Similar Jobs

2 Locations
49681 Employees
2 Locations
49681 Employees

Capital One Logo Capital One

Senior Manager, Command Center

Fintech • Machine Learning • Payments • Software • Financial Services
Hybrid
Plano, TX, USA
55000 Employees
205K-234K Annually

Capital One Logo Capital One

Sr. Process Manager (Enterprise Platforms Technology (EPTech)

Fintech • Machine Learning • Payments • Software • Financial Services
Hybrid
3 Locations
55000 Employees
93K-117K Annually

Similar Companies Hiring

Flume Health Thumbnail
Software • Insurance • Healthtech
US
22 Employees
Spark Advisors Thumbnail
Software • Sales • Other • Insurance • Healthtech
New York, NY
84 Employees
MassMutual India Thumbnail
Insurance • Information Technology • Fintech • Financial Services • Big Data
Hyderabad, Telangana

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account