Senior Claims Specialist - TPA Liability

AXA XL is an Equal Opportunity Employer.

Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. You focus on excellence and creating a culture of continuous improvement, fostering collaboration, customer service, and colleague development.

Essential responsibilities include:

• Active management of a caseload of high-value liability claims across the United States for assigned clients in our U.S. Risk Management, Construction, Programs, and other supported business units.
• Effectively coordinating coverage referrals and compliance‑related issues with Third Party Administrators (TPAs), Claim Management, and our Compliance Department.
• Conducting claims handling and oversight of TPAs in accordance with AXA XL best practices across all major phases of claim handling including coverage, investigation, evaluation, reserving, recovery, and resolution.
• Providing oversight, guidance and direction to TPA claim adjusters on all major phases of claim handling.
• Collaborating with business partners on claim management and strategy to deliver optimal outcomes and align on exposure evaluation and resolution strategy.
• Consulting with internal claim resources such as regional practice leaders and claim legal to optimize outcomes and mitigate claim expense.
• Performing 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 related to TPA performance and the client.
• Collaborating proactively with internal and external stakeholders regarding claim experience, results, and trends (actuarial, reinsurance, credit risk, underwriting).
• Providing input into the development of key metrics to support Claim Audits and assisting in the coordination and retention of external counsel, as needed.

You will report to the Claims Manager – TPA Liability.

• Advanced claim handling experience involving high-value/complex claim management and litigation management.
• Defined expertise in managing coverage and compliance‑related issues.
• Multi‑jurisdictional (U.S.) experience.
• Demonstrated expertise in designated line(s) of business:
  Automobile, Construction, and General Liability.
• Experience managing claims in an unbundled insurance model.
• Experience with NY Labor Law desired.
• Overall knowledge of worker’s compensation, employers' liability desired but not required.
• Leadership:
  Demonstrates managerial courage and ability to influence external relationships, coach, set expectations, evaluate, and hold people accountable for delivering.
• Effective communication and negotiation skills:
  Excellent verbal and written communication, and negotiation skills.
• Effective organizational and time management skills.
• Strategic thinking:
  Exhibit ownership to look for ways to continuously improve internal processes related to improving claim outcomes and managing performance of external relationships.
• Effective teamwork/collaboration skills to work with Regional Practice Leads, Claim Legal, TPAs, clients and other stakeholders to produce desired outcomes.

Salary Range: USD 117,.

Actual pay will be determined based on the individual's skills, experience, and location. We strive for market alignment and internal equity with our colleagues’ pay.

We offer a competitive retirement savings plan, health and wellness programs, and many other benefits to support physical, mental, and financial health and professional development.