A

AIG

Underwrites insurance for businesses and individuals

Complex Claims Director - TPA Oversight

Claims AdjudicationConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • At least 7 years of General Liability or Auto claims experience.
  • Experience with complex and high-exposure General Liability bodily injury and property damage claims.
  • Advanced experience and capabilities in litigation claims management, including alternative dispute resolution and mediation processes involving auto or General Liability exposures.
  • Strong technical expertise interpreting insurance contracts.
  • In-depth knowledge of claim handling procedures, claims performance strategies, and claim best practices.
  • Advanced analytical and problem-solving skills.
  • Ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.
  • Ability to successfully complete required state licensing examinations and continuing education requirements.

Responsibilities

  • Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine claim exposure.
  • Ensure proactive claims handling aimed at prompt and cost-effective claim resolution through well-developed action plans.
  • Determine the need for and direct independent adjusters to gather information to determine claim exposure and control their costs.
  • Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; and retain and direct coverage counsel when necessary.
  • Assess liability and resolve claims within established evaluations.
  • Maintain diaries and complete tasks within required timeframes set by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis of coverage, damages, reserves, and liability, including an action plan for resolution; and process and pay invoices in a timely manner.
  • Coordinate vendor referrals for additional investigation or litigation management.
  • Calculate and assign timely and appropriate reserves, and monitor reserve accuracy throughout the life of each claim.
  • Refer cases to a supervisor and management as appropriate, and respond to requests or directions in a professional and timely manner.
  • Attend arbitrations, mediations, settlement conferences, and trials.
  • Communicate with internal business partners, including underwriters, to ensure underwriting is aware 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 check the accuracy of TPA financials and ensure alignment with TTPO financials.

About the Company

AIG

Underwrites insurance for businesses and individuals

AIG underwrites property and casualty insurance for businesses and individuals, covering losses from damaged assets, legal claims and personal accidents. Its commercial policies span risks such as cyberattacks, shipping losses and aviation accidents, while personal coverage includes accident and health insurance and protection for valuable homes. Brokers and agents connect clients with insurers that assess risks, set premiums and handle claims under each policy's terms. The group earns insurance premiums and investment income on assets held to meet future claims. Its operating roots date to Shanghai in 1919, and its headquarters are in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1919

Recently Posted Jobs

Explore more opportunities at AIG

See more jobs