Claims adjuster Accident and Health/TPA

Main Roles & Responsibilities

• CBRA (10% to 20%): coordinating cybersecurity questionnaire with TPA Governance Compliance & Risk Officer & the Global Cybersecurity team in charge of the assessment; including preparation meetings with the TPAs & remediation plan follow up when applicable
• Contracts (10% to 20%): negotiating contracts handling agreement with the TPAs in coordination with the Legal, UW, Claims teams subject matter experts if needed (sanctions, fraud&recovery) – negotiating amendments to the contracts against updates in regulation, law, AIG policies, changes in the claims delegation authorities or in the claims guidelines
• Audits (10% to 20%): leading the operational/compliance TPAs’ audits / coordinating the technical audits performed either by the local Claims team or by the Global Quality Assurance team. Recommendations follow up when required. Contribution to build the yearly audit plan for the BL TPAs
• MI/Finance (10% to 15%)): receiving/checking monthly claims BDX, all MI with a focus on key Claims Performance Metrics, implementing & monitoring Claims Loss funds together with the controlling team
• New TPA referencing or extension of service/line of business of an existing TPA (0 to 10%): leading/coordinating the onboarding process: business justification form, CBRA, due diligence/pre audit, contract, EMEA/International approval form to Head of Claims
• Any other topic / support to the claims & UW teams in relation with TPAs (5% to 10%): any topic where a go between role is expected such as: offboarding of TPAs, transfer from a TPA to another, set up collaboration with fraud & recovery SIU team etc…
• Any contribution with the “functional” colleagues based in France (5% to 10%): team updates/calls, preparation to France or FBL deck related with TPAs, contribution to the EMEA Monthly forum with inputs from BL TPAs
  
  

Expectation to the role:

• Good writing skills
• Analytical and synthetic
• Good interpersonal skills (internal, external)
• Reliability, organization, rigor
• Ability to work with autonomy & with a large panel of topics & people
• Ideally fluent in Dutch & English & good level of French
• Ease with office and application tools
• Ability to work in teams, cross-functional and matrix
• Occasional travel possible in this role
  
  

Ready to accelerate your career? We would love to hear from you.

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 inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent 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 Europe S.A. (Belgium branch)