Job Description

Claims, QA Specialist - Worker's Compensation

Join us as a Claims QA Specialist to make more of your specialist expertise and experience.

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

• Complete quality reviews on all files within program guidelines while achieving and maintaining calibrated application of Line of Business best practices and claim handling expectations.
• Organize and execute Benchmark reviews as a Team Lead, including risk assessment, scheduling, sampling, GQA review team oversight, results analysis, stakeholder feedback, addressing queries and reporting of results.
• Establish and maintain effective communication with Line of Business partners including presentation of constructive feedback in a positive way.
• Identification of trends and improvement opportunities with follow-up to ensure implementation of meaningful continuous improvement and/or action plan in partnership with claims.
• Carry out second-line reviews and provide constructive feedback and training where required to drive calibration with our claims partners.
• Commitment to personal development and skill enhancement.

What you'll need to succeed

• Fluent English with additional language skills, desirable.
• Proven claims experience handling and auditing Workers Compensation claims. Similar experience in other lines of business is desirable.
• Excellent awareness of industry practices surrounding Claims Handling together with strong technical knowledge of subject matter and ability to apply it to the role.
• Knowledge of key regulatory and legal requirements relevant to Workers Compensation claims.
• Experience in claims analysis, Management Information and stakeholder reporting desirable.
• Ability to make recommendations on action and improvement plans.
• Excellent attention to detail.
• Excellent verbal and written Communication skills, ability to influence and to manage stakeholder expectations.
• Excellent written output skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation.
• Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies of the GQA function.
• Excellent organizational skills.
• The role will require to work from other AIG offices (up to 25% travel)

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 candidatecare@aig.com .

Functional Area:

CL - Claims

Estimated Travel Percentage (%): Up to 25%

Relocation Provided: No

AIG Claims, Inc.

Job Tags

Relocation, Flexible hours,

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