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Complex Claims Examiner

AIG Insurance Hong Kong Limited

  • Company Industries:Insurance/Pension Funding

Job Information

  • Post Date:2022-06-13
  • Location:Quarry Bay
  • Employment Type:Full Time, Permanent
  • Job Function:Sales  CS & Business Devpt  Customer Service - Supervisor / Officer  Insurance  Claims O
  • Benefits:Dental insurance, Life insurance, Medical insurance, Performance bonus, Five-day work week

Job Description

Job Description

Purpose of the Role

To handle Casualty portfolio of moderate complexity claims from coverage enquiry through legal liability assessment and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as  necessary to all key internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.

Functional Responsibilities: 

1. Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits  and providing a high standard of customer service
2. Working with Team Manager/Assistant Claims Manager to ensuring effective vendor and litigation management on Complex claims within a personal allocation
3. Developing communication for internal stakeholders, where required
4. Striving for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
5. Contributing to maintenance of best practice procedures for Casualty Complex claims, consistent with global best practice
6. Demonstrating a basic standard of technical claims competence for handling moderate complexity complex claims
7. Handling complex claims allocated within agreed level of authority limit
8. Timely, accurate and customer focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
9. Consistent proactive claims handling on an ongoing basis (i.e. initial file review, investigations and liability, negotiations and settlement, and litigation management)

Job Requirements

  • Degree holder with knowledge in insurance
  • At least 3 years of claims handling experience in Casualty is preferred. Liability technical claims topics including Auto Liability;  Bodily Injury – Occupiers Liability / Premises Liability; Product Liability
  • Policy language skills enabling accurate and consistent policy wording interpretation
  • A basic knowledge of legal / regulatory and litigation / procedural  requirements for common law claims
  • Good communication skills, both written & verbal
  • Time management – ability to manage & prioritise workload and diary management
  • Ability to contribute effectively within a team environment
  • Ability to work with claims stakeholders to effectively direct claims strategy
  • Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement
  • Computer proficiency

Company Info

American International Group, Inc. (AIG) is a leading global insurance organization. Founded in 1919, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement products, 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. AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock Exchange.

Join our Talent Network at http://www.aig.com/talentnetwork.  Additional information about AIG can be found at www.aig.com and http:// www.aig.com/strategyupdate | YouTube: http://www.youtube.com/aig | Twitter: @AIGinsurance | LinkedIn: http://www.linkedin.com/company/aig. These references with additional information about AIG have been provided as a convenience, and the information contained on such websites is not incorporated by reference into this press release.

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