Senior Claims Specialist - TPA Liability

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

About the role

You will actively manage a caseload of high-value liability claims across the United States for assigned clients in our US Risk Management, Construction, Programs, and other supported business units. This role involves coordinating coverage referrals, compliance issues with Third Party Administrators (TPAs), and overseeing claim handling in alignment with AXA XL best practices.

Responsibilities

• Manage and oversee high-value liability claims, ensuring adherence to AXA XL best practices in coverage, investigation, evaluation, reserving, recovery, and resolution.
• Provide guidance and direction to TPA claim adjusters on all major phases of claim handling, including coverage, investigation, evaluation/reserving, recovery, and resolution.
• Collaborate with business partners on claim management and strategy to optimize outcomes and align on exposure evaluation and resolution strategies.
• Consult with internal claim resources such as regional practice leaders and claim legal to ensure optimal outcomes and mitigate claim expenses.
• Perform Claim Account Management for assigned clients, including communicating claim issues, participating in TPA audits, and addressing technical and service-related performance issues.
• Proactively collaborate with internal and external stakeholders (e.g., actuarial, reinsurance, credit risk, underwriting) regarding claim experience, results, and trends.
• Provide input into the development of key metrics for Claim Audits and assist in coordinating and retaining external counsel as needed.

You will report to the Claims Manager – TPA Liability.

Requirements

• Advanced claim handling experience with high-value and complex claim management, including litigation management.
• Expertise in managing coverage and compliance-related issues.
• Multi-jurisdictional (U.S.) experience.
• Demonstrated expertise in designated lines of business: Automobile, Construction, and General Liability.
• Experience managing claims in an unbundled insurance model.
• Experience with NY Labor Law is desired.
• Knowledge of workers' compensation and employers' liability is desired but not required.

Skills

• Leadership: Demonstrates managerial courage, influences external relationships, coaches, sets expectations, evaluates, and holds people accountable.
• Communication and Negotiation: Excellent verbal and written communication and negotiation skills.
• Organizational and Time Management: Effective organizational and time management skills.
• Strategic Thinking: Exhibits ownership in improving internal processes to enhance claim outcomes and manage external relationships.
• Teamwork/Collaboration: Collaborates effectively with Regional Practice Leads, Claim Legal, TPAs, clients, brokers, actuarial, reinsurance, and business partners.

About Us

AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. We provide re/insurance solutions for mid-sized companies, multinationals, and individuals, reinventing the approach with a comprehensive capital platform, data-driven insights, leading technology, and an agile, inclusive workspace. We partner with those who move the world forward. Learn more at axaxl.com.

Benefits

• Inclusion and Diversity: AXA XL is committed to equal employment opportunity and fosters an inclusive culture. We offer five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability, and inclusion, with 20 chapters globally. We support flexible working arrangements and enhanced family-friendly leave benefits.
• Total Rewards: Competitive compensation and personalized, inclusive benefits covering health, wellbeing, lifestyle, and financial security. This includes a robust retirement savings plan, health and wellness programs, and professional development opportunities.
• Sustainability: Our 2023-26 Sustainability strategy, "Roots of resilience," focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across operations. We engage in volunteering and charitable giving through AXA Hearts in Action programs.

Pay

The U.S. base salary range for this position is USD 117,000–184,400. Actual pay will be determined based on skills, experience, and location.