AIG

Claims Quality Assurance Specialist – Worker's Compensation

AIG

full-time

Posted on:

Location Type: Office

Location: Atlanta • Kansas • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Complete quality reviews on all files within program guidelines while achieving and maintaining calibrated application of Line of Business best practices and claim handling expectations.
  • Organize and execute Benchmark reviews as a Team Lead, including risk assessment, scheduling, sampling, GQA review team oversight, results analysis, stakeholder feedback, addressing queries and reporting of results.
  • Establish and maintain effective communication with Line of Business partners including presentation of constructive feedback in a positive way.
  • Identification of trends and improvement opportunities with follow-up to ensure implementation of meaningful continuous improvement and/or action plan in partnership with claims.
  • Carry out second-line reviews and provide constructive feedback and training where required to drive calibration with our claims partners.
  • Commitment to personal development and skill enhancement.
  • Work from other AIG offices as required (up to 25% travel).

Requirements

  • Proven claims experience handling and auditing Workers Compensation claims.
  • Similar experience in other lines of business is desirable.
  • Excellent awareness of industry practices surrounding Claims Handling together with strong technical knowledge of subject matter and ability to apply it to the role.
  • Knowledge of key regulatory and legal requirements relevant to Workers Compensation claims.
  • Experience in claims analysis, Management Information and stakeholder reporting desirable.
  • Ability to make recommendations on action and improvement plans.
  • Excellent attention to detail.
  • Excellent verbal and written Communication skills, ability to influence and to manage stakeholder expectations.
  • Excellent written output skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation.
  • Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies of the GQA function.
  • Excellent organizational skills.
  • Willingness to work from other AIG offices (up to 25% travel).
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.
  • Volunteer Time Off and Matching Grants Programs.
  • Reasonable accommodations for job applicants and employees with disabilities.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
claims handlingauditingclaims analysisManagement Informationregulatory requirementslegal requirementsWorkers Compensation claimsrisk assessmentGQA reviewcontinuous improvement
Soft skills
communication skillsattention to detailorganizational skillsstakeholder managementinfluencing skillsconstructive feedbacktrainingpersonal developmentproblem-solvingreporting