Claim Specialist- Workers' Compensation

Claims Specialist – Workers Compensation

Exton, PA; Los Angeles, CA; Walnut Creek, CA, Atlanta, GA, Chicago, IL

Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service and colleague development. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement.

What you’ll be doing

What will your essential responsibilities include?

• Active direction of high-value workers’ compensation claims venued throughout the United States for assigned clients in our US Risk Management, Construction Primary Casualty, or other supported underwriting teams.
• Effectively coordinate coverage referrals and compliance related issues with Third Party Administrators (“TPAs”), Claim Management, and our Compliance Department.
• Provide oversight, guidance, and direction to TPA claim adjusters in accordance with AXA XL best practices on all major phases of claim handling including coverage, investigation, compensability, medical management, disability management, evaluation/reserving, recovery, and resolution.
• Collaborate with business partners, as appropriate, on claim management and strategy to help deliver the optimal outcomes and ensure, to the extent possible, that we are in alignment on our evaluation of the exposure and strategy to resolve claims.
• Collaborate and consult with internal claim resources such as regional practice leaders and claim legal attorneys to ensure the most optimal outcome and mitigate claim expense.
• Perform claim account management for assigned clients to communicate claim issues and results, participate in the TPA audit process, and collaborate on technical and service issues relating to the TPA performance and the client.
• Collaborate proactively with internal and external stakeholders regarding claim experience, results, and trends

You will report to the Workers’ Compensation Claims Manager- TPA

What you will BRING

We’re looking for someone who has these abilities and skills:

• Claim handling experience involving high value/complex claim management and litigation management.
• Multi-jurisdictional (U.S.) experience.
• Demonstrated expertise in designated line(s) of business: Workers’ Compensation.
• Ability to positively influence external relationships. Coaches, sets expectations, evaluates, and holds people accountable for delivering.
• Excellent verbal and written communication skills
• Demonstrated negotiation skills.
• Effective organizational and time management skills.
• Demonstrated strategic thinking and a mindset for continuous improvement of internal processes and positive development of external relationships.
• Effective teamwork and collaboration skills to effectively partner with Regional Practice Leads, Claim Legal, TPAs, and clients to produce desired outcomes, as well as with other internal and external stakeholders such as brokers, actuaries, ceded reinsurance staff, and underwriters to communicate claim results, experience, and

Who WE are

What we OFFER

• Five Business Resource Groups focused on gender, LGBTQ , ethnicity and origins, disability and inclusion with 20 Chapters around the globe.
• Robust support for Flexible Working Arrangements
• Enhanced family-friendly leave benefits
• Named to the Diversity Best Practices Index
• Signatory to the UK Women in Finance Charter

• 
  Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society – are essential to our future. We’re committed to protecting and restoring nature – from mangrove forests to the bees in our backyard – by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans.
• Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions.
• Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We’re training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting.
• AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL’s “Hearts in Action” programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day – the Global Day of Giving.