- Assists customers in analyzing and refining their queries in order to accurately fulfill claims requests.
- Selects the most relevant search results and, if necessary, assist the customer by following up on those resources
- Be proficient in complex claims processes
- Utilizing acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records. May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary. Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of claim
- Providing timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquires according to company policy and procedures
- Determining and timely sets appropriate reserves within authority level
- Identifying subrogation opportunities and fraud potential and make appropriate referrals
- Other duties and responsibilities may be assigned as new business needs arise
- Self-motivated and able to work under pressure with a high level of responsibility.
- Effective time management to be able to multi-task, priorities to meet varying tasks and deadlines and delegate.
- Solutions-focused, proactive, use initiative to improve function/processes and problem solve.
- Strong communicator at all levels; verbally and written to build and maintain internal and external relationships.
- Knowledge of coaching and mentoring techniques to be able to develop and support others on a day-to-day basis.
- To work with integrity independently or as part of a team to achieve personal and business objectives.
- Good numeracy, literacy and attention to detail.
- Highly effective communicator in English, both verbal and written.
- Previous experience in the insurance industry, hospitality services or customer service are desirable
Complex Claims Examiner - Kuala Lumpur, Malaysia - AIG
Description
Complex Claims Examiner
Who we are
American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security.
General Insurance
General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world's most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network.
About the role
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Requirement