Talent.com
serp_jobs.error_messages.no_longer_accepting
Senior Claims Specialist, TPA Liability - Construction

Senior Claims Specialist, TPA Liability - Construction

AXA XLSan Francisco, CA, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Overview

Senior Claims Specialist, TPA Liability - Construction

Join to apply for the Senior Claims Specialist, TPA Liability - Construction role at AXA XL. Location options include 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. This role focuses on construction bodily injury claims arising from automobile, general liability and employers’ liability coverages, with oversight of complex primary claims and third-party claim administrator partners nationwide.

Responsibilities

  • Active management of a caseload of high-value liability claims in the Construction book of business for assigned clients throughout the United States.
  • Coordinate coverage referrals and compliance between third-party claim administrators, claim and legal management, and AXA XL’s compliance department.
  • Provide claims oversight and guidance of TPAs in accordance with AXA XL best practices across phases of claim handling : coverage, investigation, evaluation, reserving, resolution and recovery.
  • Collaborate with business partners on claim management strategies to deliver optimal outcomes and align exposure evaluation and resolution strategies.
  • Consult with internal claim resources (regional practice leaders, claim legal) to mitigate claim exposure and expense.
  • Perform claim account management for assigned clients, participate in TPA audits, and address technical and service issues related to TPA performance.
  • Engage proactively with internal and external stakeholders regarding claim experience, results, and trends (actuarial, reinsurance, credit risk and underwriting).
  • Provide input into key metrics to support TPA claim audits and assist with coordination and retention of external counsel as needed.

What You’ll Bring

  • Advanced claim handling experience involving high-value / complex claim management and litigation management for automobile, general liability, and employers liability in the Construction book of business.
  • Defined expertise in managing coverage and compliance issues related to 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 and employers liability desired, but not required.
  • Demonstrated managerial leadership and ability to influence external relationships; coach, set expectations, evaluate and hold TPAs accountable for delivering successful oversight claims.
  • Effective verbal and written communication with seasoned negotiation skills, and strong organizational and time management.
  • Proven ability to continuously improve internal processes, including claim processes, file outcomes and external relationships.
  • Ability to collaborate with practice leaders, legal, TPAs and clients to achieve desired outcomes; share critical information with brokers, actuarial, reinsurance and business partners.
  • Progression towards or completion of insurance or industry-related qualifications or certifications is 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. We combine a comprehensive capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace to deliver top client service across our lines of business.

    What We Offer

    Inclusion

    AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity, marital status, religion, disability, or any other protected characteristic. We promote an inclusive culture to attract, develop, advance and retain a diverse workforce.

  • Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 chapters globally.
  • Flexible working arrangements support
  • Enhanced family-friendly leave benefits
  • Named to the Diversity Best Practices Index
  • Signatory to the UK Women in Finance Charter
  • Total Rewards

    AXA XL’s rewards program covers health, wellbeing and financial security with competitive compensation and inclusive benefits. We invest in your development and offer learning opportunities for career growth.

    Sustainability

    Sustainability is integral to our strategy. Our 2023-26 Sustainability plan, Roots of resilience, focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations.

    Our Pillars

  • Valuing nature : Protecting and restoring nature and promoting biodiversity.
  • Addressing climate change : Building a net zero strategy and advancing solutions.
  • Integrating ESG : Incorporating ESG considerations into internal processes and governance.
  • AXA Hearts in Action : Volunteering and charitable programs, including Matching Gifts and Volunteer Leave.
  • 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 on skills, experience and location.

    Additional Information

    Seniority level : Not Applicable | Employment type : Full-time | Job function : Finance and Sales | Industries : Insurance

    #J-18808-Ljbffr

    serp_jobs.job_alerts.create_a_job

    Liability Specialist • San Francisco, CA, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Senior Resolution Specialist

    Senior Resolution Specialist

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Resolution Specialist to manage complex claims and provide strategic recommendations.Key Responsibilities Conduct detailed analysis to investigate claims exposur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    New York Licensed Claims Specialist

    New York Licensed Claims Specialist

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Claims Resolution Specialist II, Appeals.Key Responsibilities Negotiate healthcare claims and maintain provider relationships to achieve maximum discounts Perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Claims Manager

    Senior Claims Manager

    VirtualVocationsOakland, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Manager - Risk and Insurance.Key Responsibilities Manage liability claims, including evaluation, negotiation, and resolution Coordinate with defense coun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Licensed Senior Claims Adjuster

    Licensed Senior Claims Adjuster

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior General Liability Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    California Licensed Senior Resolution Manager

    California Licensed Senior Resolution Manager

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Resolution Manager to oversee claims management and resolution processes.Key Responsibilities Execute decision-making to analyze and resolve claims effectively ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Insurance Claims Specialist

    Insurance Claims Specialist

    VirtualVocationsSan Jose, California, United States
    serp_jobs.job_card.full_time
    A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior General Liability Claims Adjuster

    Senior General Liability Claims Adjuster

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior General Liability Claims Specialist.Key Responsibilities Conduct detailed analysis to investigate claims exposure and recommend settlement strategies Create res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Claims Adjuster

    Senior Claims Adjuster

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Resolution Specialist to manage complex claims and recommend settlement strategies.Key Responsibilities Conduct detailed analysis of claims exposure and recommen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    GL / Excess Claims Adjuster

    GL / Excess Claims Adjuster

    VirtualVocationsSanta Clara, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a GL / Excess Claims Adjuster III to manage a caseload of claims in multiple states.Key Responsibilities Manage a caseload of GL / Excess Claims, including new loss assignmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    NY Licensed Medical Claims Specialist

    NY Licensed Medical Claims Specialist

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Claims Resolution Specialist II, Appeals (Remote).Key Responsibilities Negotiate health care claims and maintain provider relationships to achieve maximum disco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    STAT / PFL Claims Specialist

    STAT / PFL Claims Specialist

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a STAT / PFL Claims Specialist.Key Responsibilities Conduct initial and ongoing interviews with claimants and review medical records to determine claims Collaborate with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Specialist II

    Claims Specialist II

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Specialist II.Key Responsibilities : Manage customer interactions and guide them through the claims process, ensuring satisfaction Investigate claims by gatherin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Claims Adjuster - TX, FL, GA, NY Licensed

    Senior Claims Adjuster - TX, FL, GA, NY Licensed

    VirtualVocationsSanta Clara, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster specializing in Complex Commercial Auto Bodily Injury and Property Damage. Key Responsibilities Manage and resolve Auto Liability and Complex Bodi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Specialist (Insurance Biller) to manage and resolve insurance claims.Key Responsibilities Work on claims that have been rejected by the clearinghouse Review and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Federal Claims Adjuster

    Senior Federal Claims Adjuster

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Federal Work Comp Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and determining appropriate actions for resolution Communicate effect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    California Licensed Claim Adjuster

    California Licensed Claim Adjuster

    VirtualVocationsFremont, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Commercial General Liability Claim Adjuster.Key Responsibilities Negotiate and settle large exposure commercial general liability and property claims Prepare written s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Claims Consultant, Management Specialty

    Claims Consultant, Management Specialty

    VirtualVocationsConcord, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Consultant in Management Specialty Lines.Key Responsibilities : Investigates and evaluates coverage, liability, and damages to set claim strategies and reserves ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Senior Claims Adjuster - TX / FL / GA / NY Licensed

    Senior Claims Adjuster - TX / FL / GA / NY Licensed

    VirtualVocationsOakland, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Adjuster specializing in Complex Commercial Auto BI / PD.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Consultant, Supplemental Health Claims

    Senior Consultant, Supplemental Health Claims

    VirtualVocationsHayward, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Consultant, Supplemental Health Claims.Key Responsibilities Process and adjudicate supplemental health insurance claims for accuracy and compliance Collaborate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Senior Federal Work Comp Claims Adjuster

    Senior Federal Work Comp Claims Adjuster

    VirtualVocationsSanta Clara, California, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Federal Work Comp Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and determining appropriate resolutions Communicate with various part...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours