What are the responsibilities and job description for the AVP, Programs Claims, North American Claims Group position at Allied World?
Job Title:
AVP, Programs Claims, North American Claims Group
Department:
Claims
Job Summary:
Work with the members of the Programs Claims Team to drive strategic initiatives in the handling of various claims which are being directly handled by the Company’s third-party administrators (“TPAs”). Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations and technology.
Job Duties:
· Develop project plans, manage milestones, and monitor key metrics to report progress to senior management.
· Lead end-to-end claims projects, from planning to execution, implementation, and post-go-live support.
· Identify and eliminate obstructions to progress through better procedures, training, and policy enforcement.
· Prepare and maintain regular reports on plan implementation, key metrics, and plan execution.
· Work with members of the Programs Claims Team to help execute and drive forward strategic initiatives.
· Help mentor members of the Programs Claims Team.
· Approve reserves, payments and other actions consistent with authority.
· Conduct periodic claim file reviews and monitor claim litigation.
· Provide back-up for claim staff.
· Interact with outside TPA supervisors and program administrators regarding claims oversight, trends, etc.
· Conduct TPA audits along with analysts on the team.
· Interact with underwriters concerning claims trends and strategic initiatives.
· Interact with Legal & Compliance as necessary regarding enhancements/modifications to policy forms and endorsements as well as the TPA service agreements.
· Meet with actuaries and finance as required.
· Interact with Claim Operations as necessary regarding enhancements to claims systems and other operational issues.
· Assist with claims related queries in internal and external audits.
· Work with reinsurers as needed.