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AIG · 1 day ago

Complex Claims Director - TPA Oversight

Atlanta, GA

Full-time

Onsite

Mid, Senior Level

7+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Complex Claims Director – TPA Oversight to enhance their claims management processes. The role involves analyzing and processing bodily injury and third-party property damage claims, ensuring effective resolution through proactive claims handling and collaboration with various stakeholders.

BankingFinancial ServicesInsurance

Responsibilities

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

Qualification

General Liability claimsBodily Injury claimsLitigation claims managementInsurance contract interpretationClaims handling proceduresAnalytical skillsChange initiativesCommunication skillsNegotiation skillsProblem solving skillsCreativity

Required

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

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

Benefits

A range of competitive benefits

Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development