AVP, Programs Claims Oversight

1 month ago

Farmington, Michigan, United States Allied World Assurance Company Holdings, Ltd Full time


Job Summary

Supervise Company's third-party administrators ("TPAs") and their handling of claims made against the Company's Property and Casualty insurance policies with an emphasis on Business Auto, Auto Rental, General Liability, and First-Party Property matters. This supervision includes oversight of TPA's investigation, evaluation, and resolution of auto, general liability, and first-party property claims. Actively manage TPA's handling of claims with significant exposures. Engage in collaborative projects in support of other areas of the Company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.

Job Duties

• Efficiently manage a vigorous inventory of TPA handled claims involving a broad spectrum of accounts and coverages including business auto, auto rental, general liability, and property . Promptly analyze coverage, review, edit, and approve TPA coverage letters, and manage litigation by effectively interacting with stakeholders including insureds, brokers, defense counsel, coverage counsel, and others, as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Conduct audits of TPAs, represent the Company in the resolution of claims, and participate in legal proceedings, including mediations, if necessary.

• Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management.
  • Meet with existing or prospective clients and brokers. Attend relevant industry conferences/meetings.
Qualifications

Job Responsibilities

• 10 years'+ experience handling liability insurance claims or related relevant experience. Four-year college degree is required, but J.D. is strongly preferred.

• Substantial knowledge of issues underlying claims.

• Excellent negotiation and communication skills. Technical writing experience preferred. Proficient with Microsoft Office products, internet research, and typing.

• Ability to accurately and timely analyze coverage and instruct and collaborate with TPAs and counsel regarding litigation strategy and claim resolution and resolve claims and otherwise act within the scope of delegated authority.
  • Perform other functions as needed and requested.
Special Responsibilities

• Work requires the ability to quickly and accurately read, comprehend, analyze and produce written materials and to use a computer for long periods of time. Some travel required.
  • Effective management of TPA personnel requires the ability to influence actions without direct supervisory authority.
About Fairfax

Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management.

About Allied World

Allied World, through its subsidiaries and brand known as Allied World, is a global provider of innovative property, casualty and specialty insurance and reinsurance solutions. Allied World offers superior client service through a global network of offices and branches. All of Allied World's rated insurance and reinsurance subsidiaries are rated A by A.M. Best Company, A by Standard & Poor's, and A2 by Moody's, and our Lloyd's Syndicate 2232 is rated A+ by Standard & Poor's and AA- by Fitch.

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