Claims Examiner II, Accident & Health

AIG - Shawnee, KS

Full-time - Entry Level

Shawnee, KS

Insurance Carriers and Related Activities

About the position

At AIG, we are reimagining the way we help customers manage risk. As a Claims Examiner III in Accident & Health, you will play a crucial role in this transformation. This position offers an opportunity to grow your skills and experience as a valued member of our team. Our Claims teams are recognized as 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. We take pride in delivering responsive, fair, and professional service with empathy and efficiency, supported by a robust stakeholder feedback loop and consistent processes and leadership. In this role, the Personal Accident Claim Examiner will be responsible for handling all aspects of claim resolution for assigned claims while providing world-class service to both external and internal customers. You will manage Accident & Health claims, including Accidental Death and Dismemberment (A&D), permanent and total disability, critical illness, medical evacuation, trip cancellation, and out-of-country medical claims, including key accounts that may have performance guarantees. Your responsibilities will include confirming coverage of claims by reviewing policies and documents submitted in support of claims, analyzing coverage, and communicating the coverage position. You will conduct, coordinate, and direct investigations into loss facts, determine eligibility of claims, and assess amounts owed under the terms of the contract. Additionally, you will recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals. As you grow in this role, you will have increased responsibility, managing higher claims volumes and assisting your manager with customer escalations and file audits as needed. You will also assist with team development and guidance, bringing an innovative mindset to help drive process improvement. Other duties may be assigned as necessary.

Responsibilities

• Handle all aspects of claim resolution for assigned claims.
• Provide world-class service to external and internal customers.
• Manage Accident & Health claims including A&D, permanent and total disability, critical illness, and medical evacuation.
• Confirm coverage of 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 and make appropriate Risk and Fraud referrals.
• Manage higher claims volumes and assist manager with customer escalations and file audits as needed.
• Assist with team development and guidance.
• Drive process improvement.

Requirements

• At least 1+ year of insurance claims experience with exposure to Accident and Health claims.
• Experience handling complex risks, including sickness and bodily injury claims.
• Superior customer service skills and ability to manage response timelines and reporting requirements.
• Above average computer and organizational skills.
• Excellent written and verbal communication skills.
• Ability to read and interpret insurance policies and act as liaison with Underwriting as needed.
• Ability to coach and develop others.
• Accident and Health State Adjuster licenses are a plus, contingent after hire.
• Bilingual (Spanish) is a plus.

Benefits

• Comprehensive benefits package focused on health, wellbeing, and financial security.
• Professional development opportunities.
• Flexible work arrangements.
• Diversity and inclusion learning programs.
• Cultural awareness activities and Employee Resource Groups (ERGs).