Claims Examiner II, Accident & Health

Welcome to American International Group, where we are committed to providing top-notch insurance services to our clients. We are currently seeking a Claims Examiner II for our Accident & Health department. As a Claims Examiner II, you will play a critical role in processing and evaluating complex insurance claims related to accidents and health issues. We are looking for someone who is highly analytical, detail-oriented, and has a strong background in insurance claims. If you have a passion for helping others and a proven track record of successfully handling claims, we encourage you to apply for this exciting opportunity. Join our team and make a difference in the lives of our policyholders.

1. Process and evaluate complex insurance claims related to accidents and health issues.
2. Ensure timely and accurate processing of claims in accordance with company policies and procedures.
3. Conduct thorough investigations to determine coverage and eligibility for claims.
4. Review and analyze policy documents, medical records, and other relevant information to make informed decisions on claims.
5. Communicate with policyholders, healthcare providers, and other involved parties to gather necessary information and resolve any issues.
6. Maintain detailed and accurate records of claims, including all relevant documents and correspondence.
7. Identify potential fraudulent claims and take appropriate action to mitigate risks.
8. Collaborate with other team members and departments to ensure efficient and effective claims processing.
9. Stay updated on industry trends, regulations, and best practices related to insurance claims.
10. Provide excellent customer service to policyholders by addressing inquiries and concerns in a professional and timely manner.
11. Participate in department meetings and trainings to enhance knowledge and skills.
12. Mentor and train new claims examiners as needed.
13. Adhere to all company policies, procedures, and ethical standards.
14. Assist in special projects or assignments as assigned by management.
15. Continuously strive to improve processes and procedures to increase efficiency and customer satisfaction.

According to JobzMall, the average salary range for a Claims Examiner II, Accident & Health is $52,000 to $72,000 per year. However, this can vary depending on factors such as location, experience, and the specific company or industry. Some Claims Examiner II positions may offer higher salaries, especially for those with more experience and qualifications. It is important to research and compare salaries for similar positions in your area to get a better understanding of the expected salary range.

American International Group, Inc., also known as AIG, is an American multinational finance and insurance corporation with operations in more than 80 countries and jurisdictions.