Complex Claims Examiner, A&H

About the role

AIG is hiring a Complex Claims Examiner for its A&H (accident and health) claims team in Singapore. The role centres on handling key enquiries, coverage determination, quantum analysis and legal liability assessment, and managing third-party administrators on complex claims within a personal allocation.

Key responsibilities

• Manage key claims handling enquiries, including coverage determination, quantum analysis and legal liability assessment within authority limits, with a strong standard of customer service.
• Ensure effective vendor and litigation management on complex claims within a personal allocation.
• Communicate with internal and external stakeholders as required.
• Improve claim file handling through feedback and support via the Quality Assurance Review processes.
• Help maintain best practice procedures for intermediate to high-value A&H complex claims, consistent with global best practice.
• Manage Third Party Administrators so they follow claims handling guidelines and meet agreed deliverables, including audits and checks.
• Provide technical advice to Shared Services and take on other projects or tasks as assigned.
• Resolve claims accurately and on time while minimising indemnity exposure and controlling vendor and legal expenses.
• Keep reserves and other financial transactions disciplined, interpret policies accurately and communicate key portfolio messages to stakeholders.

Required profile

• Proven experience adjudicating A&H claims and fronting mediation in FIDREC or the Singapore Mediation Centre.
• BCP, PGI and HI Intermediate specialist knowledge in A&H technical claims topics.
• Experience following up on recommendations from technical claims audits and driving continuous claim handling improvement.
• Team player able to work with claims stakeholders to direct claims strategy.

Required skills

• Policy language skills for accurate and consistent interpretation of policy wording.
• Basic knowledge of legal, regulatory and litigation/procedural requirements for the line of business.
• Written and verbal communication skills.
• Time management, diary management and prioritisation.

The role is primarily in the office, as AIG values in-person collaboration. A Total Rewards program covering health, wellbeing, financial security and professional development is offered.