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Personal Lines Complex Claims Examiner

Your future team:

Picture yourself building a successful career at AIG working alongside other talented, highly motivated individuals committed to reaching our goal of becoming the world’s leading insurance provider. We believe that our success depends on building a world class team. If you would like to be a part of our team, we invite you to consider putting your talents to work with the AIG claims department. Claims at AIG are a combination of different functions, business divisions such as life and retirement and general insurance, and global claims, which makes us unique at AIG. Our specialised functions are delivering on AIG’s promise to our customers, our clients, our shareholders, and each other. Thanks to our global network of highly-skilled professionals, we can mobilise experts from around the world to provide reliable, responsive claims service wherever and whenever our clients need it.

Reporting to the Property and Energy Claims Manager, Australasia, you will handle personal lines – home, contents and auto (LOB) portfolio of claims from coverage enquiry through to 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.

Your contribution at AIG:

As an influencer at AIG, people come to you as a “go-to” source for help and support because of your deep knowledge and expertise. As a more experienced team member, you are capable of driving continual improvement and impacting the way that things get done. Because of your influence, whether direct or indirect, we are able to deliver powerful outcomes for our clients.

Accountabilities/responsibilities:

1. Functional responsibilities:

  • Managing key complex claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a high standard of customer service
  • Ensuring effective vendor and litigation management
  • Developing communication for internal and external stakeholders, where required
  • Striving for continuous improvement on claim file handling with feedback and support through the quality assurance review processes including undertaking quality assurance reviews
  • Contributing to maintenance of best practice procedures for complex claims, consistent with global best practice
  • Demonstrating a high standard of technical claims competence for handling moderate to high complex claims
  • Handling complex claims allocated within agreed level of authority limit
  • Establishing, reviewing and refining effective claims handling processes
  • Reviewing and responding to claim technical referrals.

2. Accountabilities:

  • Timely, accurate and customer-focused claim resolution, minimising indemnity exposure and mitigating vendor and legal expense
  • Consistent proactive claims handling on an ongoing basis (i.e. initial file review, investigations and liability, negotiations and settlement and litigation management)
  • Effective communication of key complex claims and (LOB) portfolio messages to internal stakeholders
  • Financial control through consistent reserve and other financial transaction discipline
  • Accurate and consistent policy interpretation
  • Stakeholder management and oversight including scheme partners and third party claims administrators.

3. Line of business specialist knowledge:

  • Personal Lines – home building, contents, landlord and auto. 

What we are looking for:

Qualifications

  • Graduate Diploma of General Insurance (or equivalent) – preferred 

Experience

  • Solid experience in dealing with personal lines insurance claims, including house, contents, landlords, auto and liability
  • Proven ability in the interpretation and application of personal lines policy wordings
  • Experience with claim negotiations and strong interpersonal flexibility is a necessity
  • Demonstrated capability in the effective management of various stakeholders including loss adjusters, lawyers and other experts
  • Ability to develop and maintain highly effective relationships with all stakeholders, brokers and clients.

AIG

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Summary

Classification:
Claims
Reference:
JR1803462
Salary:
Not Specified
Work Type:
Full Time
Location:
Melbourne
Date Posted:
07/06/2018
Closing Date:
07/07/2018
Advertiser:
AIG