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Senior Claims Specialist, TPA Liability - Construction
Senior Claims Specialist, TPA Liability - ConstructionAXA XL • New York, NY, US
Senior Claims Specialist, TPA Liability - Construction

Senior Claims Specialist, TPA Liability - Construction

AXA XL • New York, NY, US
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Senior Claims Specialist, TPA Liability - Construction

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Senior Claims Specialist, TPA Liability - Construction

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Senior Claims Specialist, TPA Liability- Construction

Los Angeles, CA, Phoenix, AZ; Atlanta / Alpharetta, GA, Dallas, TX, Exton, PA, Chicago, IL, NYC, NY or Hartford, CT,

United States (Hybrid)

At AXA XL, we deliver on our claims promise by having the best systems, the best people and the best partnerships in place. Our TPA Liability Oversight Claims Team's-Construction can be very complex and as such we are looking for a candidate that is well-seasoned with a balanced knowledge of Construction bodily injury claims arising from automobile, general liability and employers' liability coverages.

As a Senior Claims Specialist, TPA Liability- Construction, you will be responsible for the oversight of complex primary bodily injury claims related to this book of business. This role further includes the oversight and monitoring of self-insured retentions, deductibles and guaranteed cost programs, as well as the underlying aggregates and primary limits of liability by policy and project, ensuring proper reporting of potential exposures within the AXA XL policy program.

While you will oversee a mix of claims stemming from automobile, general liability and employee liability exposures, you will serve in the critical role of management of our third-party claim administrator partners throughout the United States. As needed, you will proper appropriate recommendations in the management of each claim from coverage through investigation, litigation and final settlement. You will be proactive about this management and collect, organize and analyze information, all while ensuring reserve adequacy, mitigation of AXA XL's Risk / Loss Exposure, oversight of defense counsel and litigation expenses, and final formulation of effective disposition strategies.

You will further perform this complex work under limited supervision. As such, we expect you to exercise independent judgment and decision making in accordance with specified policies, guidelines and jurisdictional requirements. You should possess a high level of procedural and / or technical knowledge developed through extensive experiences and training and display a positive customer centric approach to your TPA claims oversight.

What You'll Be DOING

What will your essential responsibilities include?

  • Active management of caseload of high-value liability claims venue throughout the United States for assigned clients in our Construction book of business.
  • Effectively coordinate coverage referrals and compliance between third-party claim administrators, claim and legal managements, and AXA XL's compliance department.
  • Conduct claims oversight and guidance of TPAs in accordance with AXA XL best practices in the major phases of claim handling including coverage, investigation, evaluation, reserving, resolution and recovery to which AXA XL may be exposed.
  • Collaborate with business partners, as appropriate, on claim management and strategies to deliver the most optimal outcome and ensure alignment of our evaluation of exposure and strategy to resolve.
  • Collaborate and consult with internal claim resources, such as regional practice leaders and claim legal, to ensure the most optimal outcome and mitigation of claim exposure and expense.
  • Perform 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 relating to the TPA performance with your account clients.
  • Collaborate proactively with internal and external stakeholders regarding claim experience, results, and trends (e.g. actuarial, reinsurance, credit risk and underwriting).
  • Provide input into the development of key metrics to support TPA claim audits and assist in the coordination and retention of external counsel, as needed.

You will report to the Claims Manager - TPA Liability.

What You Will BRING

We're looking for someone who has these abilities and skills :

Required Skills And Abilities

  • College degree preferred.
  • Advanced claim handling experience involving high value / complex claim management and litigation management for automobile, general liability, and employers liability arising from the Construction book of business.
  • Defined expertise in managing coverage and compliance related issues associated with automobile, general liability and employers liability.
  • Multi-jurisdictional (U.S.) experience.
  • Experience managing claims in an unbundled TPA insurance model and providing technical liability oversight.
  • Experience with NY Labor Law desired.
  • Overall knowledge of workers' compensation, employers liability desired, but not required
  • Demonstrated managerial leadership and ability to influence actions of external relationships. Coach, set expectations, evaluate and holds third-party administrators accountable for delivering successful management of oversight claims.
  • Effective verbal and written communication, along with seasoned negotiation skills.
  • Effective organizational and time management skills.
  • Demonstrated ability to continuously improve internal processes, inclusive of claim processes, file outcomes and external relationships.
  • Effective teamwork / communication skills to effectively collaborative with practice leaders, legal, TPAs and clients to produce desired outcomes. Meet and exchange critical information, claim results, industry trends and lessons learned with other key external and internal stakeholders, such as brokers, actuarial, reinsurance and business partners.
  • Significant progression towards or completion of insurance or industry-related qualifications or certifications, preferred.
  • Advanced experience handling construction bodily injury claims.
  • Highest standards of personal and professional conduct.
  • Who WE Are

    AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don't just provide re / insurance, we reinvent it.

    How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business - property, casualty, professional, financial lines and specialty.

    With an innovative and flexible approach to risk solutions, we partner with those who move the world forward.

    Learn more at axaxl.com

    What we OFFER

    Inclusion

    AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That's why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It's about helping one another — and our business — to move forward and succeed.

  • Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe.
  • Robust support for Flexible Working Arrangements
  • Enhanced family-friendly leave benefits
  • Named to the Diversity Best Practices Index
  • Signatory to the UK Women in Finance Charter
  • Learn more at Inclusion & Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer.

    Total Rewards

    AXA XL's Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do.

    We're committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence.

    Sustainability

    At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called "Roots of resilience", focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations.

    Our Pillars

  • Valuing nature : How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future. We're committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans.
  • Addressing climate change : The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions.
  • Integrating ESG : All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We are training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting.
  • AXA Hearts in Action : We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving.
  • For more information, please see Sustainability at AXA XL.

    The U.S. base salary range for this position is $106,000 to $186,500 USD.

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

    At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL's benefits offerings, please visit US Benefits at a Glance 2025.

    Seniority level

    Seniority level

    Not Applicable

    Employment type

    Employment type

    Full-time

    Job function

    Job function

    Finance and Sales

    Industries

    Insurance

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