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AXA XL · 6 hours ago

Claim Specialist- Workers' Compensation

Exton, PA

Full-time

Onsite

Mid, Senior Level

$92K/yr - $146K/yr

AXA XL is the P&C and specialty risk division of AXA, known for solving complex risks. The Claims Specialist - Workers' Compensation will manage high-value workers' compensation claims, coordinate with Third Party Administrators, and collaborate with internal and external stakeholders to ensure optimal claim outcomes.

ConsultingCustomer ServiceFinanceInsurance

Comp. & Benefits

No H1B

Responsibilities

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

Qualification

Claim handling experienceMulti-jurisdictional experienceWorkers’ Compensation expertiseNegotiation skillsOrganizational skillsStrategic thinkingCommunication skillsTeamwork skills

Required

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