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Senior Complex Claims Director - TPA Oversight

Job in Atlanta, Fulton County, Georgia, 30383, USA
Listing for: American International Group
Full Time position
Listed on 2026-01-07
Job specializations:
  • Insurance
    Risk Manager/Analyst, Insurance Claims, Insurance Analyst, Underwriter
Job Description & How to Apply Below
At AIG, we are reimagining the way we help customers to manage risk. Join us as a
** Senior Complex Claims Director – TPA Oversight
** to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.
** Make your mark in Claims
** Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
** How you will create an impact
** As Senior Complex Claims Director – TPA Oversight, you will 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. You will 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 time frames 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.
** What you will need to succeed
*** 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.
* 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.

Compensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan. In addition, we’re proud to offer a range of competitive benefits, a summary of which can be viewed here:#LI-AIG #claims professionals #Insurance Jobs #legal careers #Claims Attorney #paralegal jobs #claims examiner #claims adjuster #Insurance Careers #Insurance

TPAAt AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach…
Position Requirements
10+ Years work experience
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