Georgia Staffing
Senior Technical Specialist Workers' Compensation (MCU)
Georgia Staffing, Atlanta, Georgia, United States, 30383
Senior Technical Specialist Workers' Compensation (MCU)
At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Technical Specialist Workers' Compensation (MCU) to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. 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: 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. In this role, you will 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. Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for California (CA), Arizona (AZ), 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 will need to succeed: Minimum 8 years Workers' Compensation claim handling experience including CA and AZ 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. Ready to make a bigger impact? We look forward to reviewing your application.
At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Technical Specialist Workers' Compensation (MCU) to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. 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: 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. In this role, you will 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. Manage indemnity, medical and legal aspects of highest valued, complex WC claims, for California (CA), Arizona (AZ), 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 will need to succeed: Minimum 8 years Workers' Compensation claim handling experience including CA and AZ 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. Ready to make a bigger impact? We look forward to reviewing your application.