Claims Adjuster II, Accident & Health

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.
** Make your mark in Accident and Health 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
** The Claims Examiner II Accident and Health will be responsible to handle all aspects of claim resolution for assigned claims while providing world class service to external and internal customers.
* Confirm coverage of claims (AD&D, accident and sickness claims, critical illness, hospital cash claims, out of country medical and business-related travel claims) by reviewing policies and documents submitted in support of claims.
* Analyze coverage and communicate coverage position.
* Conduct, coordinate, and direct investigation into loss facts.
* Determine eligibility of claims and amounts owed under the terms of the contract.
* Recognize and pursue subrogation where warranted.
* Recognize and make appropriate Risk and Fraud referrals.
* Operate within our best practices guidelines, including timely reserve review, notes, payment requests, electronic diary.
* Other duties as assigned.
** What you’ll need to succeed
*** Insurance claims experience of at least 1+ year(s) with exposure to Accident and Health claims preferred, and/or, sickness and accident benefits type injury claims or any related experience.
* College/University or equivalent industry experience.
* CIP or CRM designation preferred
* Proficient computer skills to navigate paperless claim file system.
* Excellent written, verbal communication, and interpersonal skills.
* Ability to manage workload effectively and efficiently/ability to prioritize is essential.
* Willingness to work closely with colleagues on skill development.
* Ability to read and interpret insurance policies.
* A highly organized individual with ability to work in a high pace environment.
* Bilingual (Spanish) a plus
*** At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office.  This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.***#LI-PA1 #accidental death

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.
** 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…