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AIG · 1 hour ago

Claims Examiner III, Accident & Health

Lenexa, KS

Full-time

Onsite

Mid Level

3+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Claims Examiner III for Accident & Health claims. This role involves handling various types of personal accident and health claims, ensuring compliance with operational guidelines, and delivering exceptional service to clients and stakeholders.

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 claimsState LicensingComputer skillsPrioritizeCommunication skillsOrganizational skills

Required

College/University or equivalent industry experience

State Licensing required, or will need to be obtained

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

Preferred

Insurance claims experience of at least 3+ year(s) with exposure to Accident and Health claims preferred, and/or, sickness and accident benefits type injury claims or any related experience

Benefits

Compensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan.

We’re proud to offer a range of competitive benefits, a summary of which can be viewed here: US 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