Claims Analyst II, Accident

Claims Examiner II, Accident & HealthAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner 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.Make your mark in Accident and Health ClaimsOur 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.How you will create an impactThe Claims Examiner II Accident and Health will be responsible to handle 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.What you'll need to succeedInsurance 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 preferredProficient 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 plusReady to take your career to the next level? We would love to hear from you.At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family.American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks.We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion.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.