AIG

Complex Claims Liability Director – TPA Oversight

AIG

full-time

Posted on:

Location Type: Hybrid

Location: Atlanta • Kansas • United States

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Job Level

Lead

About the role

  • Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim;
  • Ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
  • Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs.
  • Identify and evaluate coverage issues;
  • Prepare comprehensive coverage letters with supervisory review and analysis;
  • Retain and provide direction to coverage counsel when necessary.
  • Assess liability and resolve claim within established evaluation.
  • Maintain diaries and complete tasks within required timeframes as set forth by department guidelines;
  • Ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
  • Process and pay invoices within a timely manner.
  • Coordinate vendor referrals for additional investigation and/or litigation management.
  • Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim.
  • Refer case 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 requirement.
  • Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends.
  • Partner with TPA Governance and Relationship Management to help TPA’s and Insureds comply with claim handling and reporting guidelines.
  • Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials.

Requirements

  • 7 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.
  • Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.
  • Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential.
Benefits
  • Competitive salary
  • Health insurance
  • 401(k) matching
  • Flexible working hours
  • Paid time off
  • Professional development opportunities