Claims Adjuster II, Accident & Health

Overview

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster 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.

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.

The Claims Adjuster II Accident and Health will be responsible for handling 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.

• 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.

Enjoy benefits that take care of what matters. AIG's Total Rewards Program offers a comprehensive benefits package that supports your health, wellbeing, financial security, and professional development.

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