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AIG · 1 day ago

Claims Adjuster II, Accident & Health

Lenexa, KS

Full-time

Onsite

Entry Level

1+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Claims Adjuster II for Accident & Health. This role involves handling all aspects of claim resolution for assigned claims while providing exceptional service to both internal and external customers.

BankingFinancial ServicesInsurance

Responsibilities

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

Qualification

Insurance claims experienceAccidentHealth claimsCIPCRM designationProficient computer skillsInterpret policiesBilingual (Spanish)Communication skillsOrganizational skills

Required

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

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