Job Description Join us as an A&H; Claims Adjuster (Accidents & Health) to take on key responsibilities within a world-class claims function.
- 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 transaction discipline
- Accurate and consistent policy interpretation

What you’ll need to succeed
- Strong experience and knowledge as a specialist in A&H; (Accidents & Health) technical claims topics
- Law degree preferred
- Fluent in English
- Policy language skills enabling accurate and consistent policy wording interpretation
- A basic knowledge of legal / regulatory and litigation / procedural requirements for their line of business
- Experience in effectively f

📌 Claims Adjuster Accidents (Madrid)
🏢 American International Group
📍 Madrid