Complex Claims Director - TPA Oversight

About the role

At AIG, we are reimagining the way we help customers manage risk. Join us as a 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. 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.

Responsibilities

• Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine exposure on the claim.
• 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 determine exposure 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 timeframes per department guidelines; ensure claim files are timely and properly documented with clear analysis on coverage, damages, reserves, 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 supervisor and management.
• Respond to requests or directions in a professional and timely manner.
• 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