Senior Complex Claims Director – TPA Oversight
AIG
full-time
Posted on:
Location Type: Office
Location: Atlanta • Kansas • United States
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Job Level
About the role
- Analyze and process bodily injury and third-party property damage claims
- Investigate and gather information to determine the exposure on the claim
- Ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims
- Direct independent adjusters to gather information and control their costs
- Identify and evaluate coverage issues; prepare comprehensive coverage letters
- Retain and provide direction to coverage counsel when necessary
- Assess liability and resolve claims within established evaluation
- Maintain diaries and complete tasks within required timeframes
- Ensure claim files are timely and properly documented
- Process and pay invoices in a timely manner
- Coordinate vendor referrals for additional investigation and/or litigation management
- Calculate and assign timely and appropriate reserves; monitor reserve accuracy
- Refer cases as appropriate to supervisor and management
- Respond to requests or directions in a professional and timely manner
- Attend arbitrations, mediations, settlement conference and trials
- Successfully complete required State licensing examinations and continuing education requirements
- Communicate with all internal business partners including underwriters
- Partner with TPA Governance and Relationship Management
Requirements
- 10 plus years of General Liability/Auto claims experience
- Experience with complex and high exposure General Liability Bodily Injury and Property Damage claims
- Excellent communication skills (verbal/written) and strong negotiation skills
- Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures
- Strong technical expertise interpreting insurance contracts
- In-depth knowledge of claim handling procedures, claims performance strategies, and claim best practices
- Advanced analytical and problem solving skills
- Ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking
- Creativity in resolving challenging business problems and achieving business goals and objectives
Benefits
- Competitive benefits package
- Continuous learning and development opportunities
- Employee Resource Groups for inclusion and belonging
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingliability assessmentcoverage evaluationlitigation claims managementADR processesnegotiationinsurance contract interpretationclaims performance strategiesanalytical skillsproblem solving
Soft skills
communication skillsnegotiation skillscreativitychange managementtime managementprofessionalismcollaborationleadership
Certifications
State licensingcontinuing education