Claims Complex Director TPA

About the role

Join us as a Complex Claims Director to play your part in transforming how we help customers manage risk. This is an opportunity to grow your skills and experience as a valued member of the Claims team, delivering consistent technical excellence and showcasing service differentiation to create an unparalleled global claims handling experience.

Responsibilities

• Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine exposure; ensure proactive claims handling aimed at prompt and cost-effective resolution through well-developed action plans.
• Determine need for and direct independent adjusters to gather information to assess claim exposure and control 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 claims within established evaluation guidelines.
• Maintain diaries and complete tasks within required timeframes; ensure claim files are properly documented with clear analysis on coverage, damages, reserves, and liability, including an action plan for resolution.
• Process and pay invoices in 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 cases as appropriate to supervisors and management.
• Respond to requests or directions professionally and promptly.
• Attend arbitrations, mediations, settlement conferences, and trials.
• Successfully complete required State licensing examinations and continuing education requirements.
• Communicate with internal business partners, including underwriters, to ensure awareness 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 verify the accuracy of TPA financials, ensuring alignment with TTPO financials.

Requirements

• At least 5 years of General Liability/Auto claims experience.
• Experience with complex and high-exposure General Liability Bodily Injury and Property Damage claims.
• Excellent communication (verbal/written) and strong negotiation skills.
• Advanced experience 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, performance strategies, and best practices.
• Advanced analytical and problem-solving skills.
• Demonstrated ability to initiate and champion change initiatives that leverage technology and improve benchmarking skills.
• Creativity in resolving challenging business problems and achieving business goals.

Benefits

At AIG, our Total Rewards Program offers a comprehensive benefits package focused on health, wellbeing, financial security, and professional development to support you and your family. Benefits include:

• Health and wellbeing programs.
• Financial security initiatives.
• Professional development opportunities.

Work Environment

At AIG, we value in-person collaboration as a vital part of our culture. Team members are primarily expected to work in the office to foster effective teamwork and create a supportive, connected environment for our team and clients.