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AIG · 1 day ago

Senior Technical Specialist Workers' Compensation (MCU)

Scottsdale, AZ

Full-time

Onsite

Senior Level, Lead/Staff

$93K/yr - $110K/yr

8+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Senior Technical Specialist Workers' Compensation (MCU) to join their team. This role involves providing technical expertise in handling high valued, complex workers' compensation claims and requires collaboration with senior management and other professionals.

BankingFinancial ServicesInsurance

Responsibilities

Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for California (CA), Arizona (AZ), and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). Pursue alternate/transitional early return to work to reduce indemnity and medical costs. Document file activity on a timely basis and accurately details significant events and outstanding issues. Engage tools and resources included in litigation management program, where applicable. Provide approval for all benefits (indemnity, medical, legal/allocated) within authority levels and is responsible for timely issuance in compliance with statutory requirements and best claim practices

Evaluate claim exposure on assigned files proficiently with independence to establish appropriate reserves within assigned authority. Continually evaluate reserves during life of the claim to ensure accuracy of financial exposure on more complex claims. Identify and refer claims evaluated greater than delegated authority to management for guidance and direction. Convey claim facts, issues and proposed actions proficiently in claim committee forum

Develop resolution strategy plans (action plans) and continually assesses and updates to achieve appropriate claim results and timely closure. Conduct claimant negotiations to achieve claim settlements within authority limits; interacts with claimant and/or claimant’s attorney as needed to direct negotiations and achieve settlement. May assist other teams with claim reserving, resolution and/or negotiation strategy

Qualification

Workers' Compensation claimsClaim negotiationClaims strategy developmentTechnical claim handlingOrganizational skillsBachelor's degreeState adjuster’s licensesCommunication skillsInterpersonal skills

Required

Minimum 8 years Workers' Compensation claim handling experience including CA and AZ claims and other jurisdictions

Technical claim handling and organizational skills

Strong (oral/written) communication and interpersonal skills

Preferred

State adjuster's licenses are preferred but not required

Bachelor's degree from a four-year college or university preferred

Benefits

A range of competitive benefits

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