Atlanta, GA, 30309, USA
30 days ago
Senior Work Comp Tech Specialist (MCU)
Senior Technical Specialist – Major Case Unit (MCU) – Tennessee, New Jersey, and other jurisdictions Who we insure?American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks, and provide for retirement security. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. Make your mark in Workers' CompensationTo provide technical expertise in handling and directing high valued, complex WC claims involving serious injuries, catastrophic losses and/or complicated litigation. Includes reserving, negotiating, strategizing, litigating and final disposition of assigned claims. The AIG Workers’ Compensation (WC) Major Case Unit (MCU) is a group of well trained and highly dedicated claim professionals with an average of 26 years WC claim handling experience. We take a collaborative approach in handling large, complex, and catastrophic claims. Team members excel from sharing each other’s strengths and experiences. This position provides the opportunity to engage/work with senior claim and underwriting management, and for growth within the company. How you will create an impact • Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for Tennessee (TN), New Jersey (NJ) and other jurisdictions, through use of various resources available (i.e., utilizing medical management services in controlling medical treatment as necessary, coordinating independent medical evaluations where appropriate). Pursue alternate/transitional early return to work to reduce indemnity and medical costs. Document file activity on a timely basis and accurately details significant events and outstanding issues. Engage tools and resources included in litigation management program, where applicable. Provide approval for all benefits (indemnity, medical, legal/allocated) within authority levels and is responsible for timely issuance in compliance with statutory requirements and best claim practices.• Evaluate claim exposure on assigned files proficiently with independence to establish appropriate reserves within assigned authority. Continually evaluate reserves during life of the claim to ensure accuracy of financial exposure on more complex claims. Identify and refer claims evaluated greater than delegated authority to management for guidance and direction. Convey claim facts, issues and proposed actions proficiently in claim committee forum.• Develop resolution strategy plans (action plans) and continually assesses and updates to achieve appropriate claim results and timely closure. Conduct claimant negotiations to achieve claim settlements within authority limits; interacts with claimant and/or claimant’s attorney as needed to direct negotiations and achieve settlement. May assist other teams with claim reserving, resolution and/or negotiation strategy. What you'll need to succeed: • Minimum 8 years Workers’ Compensation claim handling experience including TN claims and other jurisdictions. State adjuster’s licenses are preferred but not required. • Bachelor’s degree from a four-year college or university preferred.• Technical claim handling and organizational skills• Strong (oral/written) communication and interpersonal skills For positions based in Jersey City, NJ and New York City, NY the base salary range is $80,000-$95,000 and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. A summary of benefits can be viewed here: 2024 Benefits Overview (https://sprcdn-assets.sprinklr.com/248/0a780968-b61c-4521-b06e-ffe3eb552e83-228292781/New\_Hire\_Benefits\_Overview\_202.pdf) #LI-HB1 Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our 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—to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of belonging We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com . Functional Area: CL - Claims AIG Claims, Inc.
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