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AIG · 1 day ago

Claims Management Analyst - TPA Oversight

GA-Atlanta

Full-time

Onsite

Mid, Senior Level

4+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Claims Management Analyst - TPA Oversight to enhance their claims handling processes. The role involves analyzing and processing property damage claims, coordinating with stakeholders, and ensuring compliance with claim handling guidelines.

BankingFinancial ServicesInsurance

Responsibilities

Analyze and process first 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 exposure 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 TPAs 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

Property claims experienceLitigation claims managementInsurance contract interpretationClaims handling proceduresAnalytical skillsChange initiativesCommunication skillsNegotiation skillsProblem solving skillsCreativity