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AIG · 2 weeks ago

Claim Governance Analyst

Lenexa, KS

Full-time

Onsite

Entry, Mid Level

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Claim Governance Analyst to join their team. The role involves performing oversight audits of claim handling and operational processes, ensuring compliance with Service Level Agreements, and identifying opportunities for improvement in claims operations.

BankingFinancial ServicesInsurance

Responsibilities

Gathering of data for compliance with claim audit requests or for regulatory reporting

Completion of monthly oversight quality reviews on services provided by third party contractors or by internal claim handling teams associated with the processing of commercial or personal line claims

Generate monthly reports that are reviewed with key stakeholders that effectively capture the prior month performance. Performance below expectation results in the development of an action plan in coordination with key stakeholders

Identification of trends and improvement opportunities with follow-up to identify opportunities for new audits to evaluate performance and support claim handling performance

Assist with the collection of data to support audit or regulatory reporting requirements. This includes industry and state requests as well as collaborating with outside auditors reviewing the oversight audits

Establish and maintain effective communication with third party contractors, internal teams and state contacts to support ongoing efforts to improve performance and efficiency

Assist with the review of controls with other departments to identify potential impacts from upcoming projects

Qualification

Claim adjudication experienceClaim operations knowledgeRegulatory compliance knowledgeClaims analysis experienceAttention to detailVerbal communicationWritten communicationOrganizational skills

Required

Proven claim adjudication or claim operations experience for multi-line commercial claims

Claim Audit or file review experience is desirable

Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus

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 communication skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation

Ability to address queries, disputes, challenges through the oversight audit cycle while maintaining the philosophies of the Governance Oversight control and objective

Excellent organizational skills