Job Description
Join us as an A&H; Claims Adjuster (Accidents & Health) to take on key responsibilities within a world-class claims function.
Make your mark in Claims
Our 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 impact
Functional Responsibilities
Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
Ensuring effective vendor and litigation management on Complex claims within a personal allocation
Broader internal / external stakeholder communication where required
Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
Contribute to maintenance of best practice procedures for A&H; intermediate to high value Complex claims, consistent with integral best practice
Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex claims in A&H.;
Manage Third Party Administrators to ensure that they adhere to the claims handling guidelines and meet the agreed deliverables. This would include conducting audits and checks. Provide technical advice to Shared Services.
Accountabilities
Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense
Effective communication of key advanced Complex claims and A&H; portfolio messages to internal stakeholders.
Financial control through consistent reserve and other financial
📌 Claims Adjuster Accidents (Madrid)
🏢 Aig
📍 Madrid