Claim Specialist- TPA Liability

Claims Specialist – TPA Liability

United States

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.

You will work closely with your manager, TPA’s, fellow Claims Specialists, CAM’s, and outside vendors to drive files to resolution and will interact and collaborate frequently with Regional Claims Practice Leaders and the Underwriting team. Together, you will be tasked with achieving the best possible outcomes for AXA XL and its clients by resolving and settling claims proactively.

What you’ll be doing

What will your essential responsibilities include?

• Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with our TPAs, Regional Claims Practice Leaders, Claims Legal and Claims management, as warranted.
• Overflow Frequency Reviews.
• Proactively managing the TPAs, and external counsel and setting litigation strategies when counsel is engaged on a claim.
• Coordinating and managing communication with internal and external stakeholders (e.g. CAM’s, underwriting, brokers, reinsurers, external vendors, etc.) to ensure the highest level of customer service.
• Consulting with Regional Claims Practice Leaders and Claims management on Large Losses and ensuring all steps are taken to achieve the best outcomes for the client and AXA XL.
• Documenting, as necessary, claim activity in our claims system in accordance with our Global Claim Handling Principles, which includes the establishment and maintenance of appropriate reserves.
• The production of internal reports.
• Identifying, monitoring, and reporting on emerging liability and coverage trends.

You will report to the Manager of TPA Liability Claims

What you will BRING

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

• General Liability and commercial auto claims experience: Beginner to Intermediate level experience managing TPA Oversight claims and reviewing Frequency claims. Experience assessing and managing coverage issues and managing TPA’s. Demonstrated experience negotiating and settling claim files.
• Excellent Communication: Excellent verbal and written communication, presentation, and negotiation skills. Able to communicate and negotiate effectively with internal and external stakeholders at various levels of sophistication.
• Collaborative approach: Develop productive working relationships with insured, brokers, TPA claim handlers, CAM’s, underwriters, and legal counsel. Seek input from others as needed to achieve the best result possible. Capable of working and collaborating with a virtual team.
• Ethics: Handle responsibilities with integrity and the highest standards of professionalism.
• Passion for results: Approach tasks proactively and anticipate needs. Think quickly and prioritize multiple work streams without sacrificing quality. Act with a sense of urgency.
• Intellectual curiosity: Willing to ask questions and explore new ideas. Eager to learn and focused on continuously improving technical skills.

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.