Complex Claims Director - TPA Oversight

At AIG, we are reimagining the way we help customers to 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.

Make your mark in Claims

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.

How you will create an impact

As Complex Claims Director – TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. You will determine need for and direct independent adjusters to gather information to determine exposure on the claim 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 as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within 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 case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner.

• Attend arbitrations, mediations, settlement conference and trials.

• Successfully complete required State licensing examinations and continuing education requirement.

• Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends.

• Partner with TPA Governance and Relationship Management to help TPA’s and Insureds comply with claim handling and reporting guidelines.

• Work with TPA Claims  Financial  to check the accuracy of TPA financials ensuring alignment with TTPO financials.

What you will need to succeed

• 7 plus years of General Liability/Auto claims experience.

• Experience with complex and high exposure General Liability Bodily Injury and Property Damage claims.

• Excellent communication skills (verbal/written) and strong negotiation skills.

• Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL 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.

• Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.

• Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential.

Ready to make a bigger impact? We look forward to reviewing your application.

#LI-PA1

#claimsprofessionals #legalcareers #ClaimsAttorney #tortlaw #paralegaljobs #claims #claimsexaminer #claimsadjuster #claimsservice #TPA #TPAclaims

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.

Welcome to a culture of inclusion

We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.

AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities.  If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.  

CL - Claims