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Vp, Tpa Moderate Claim Leader

1 month ago

Chatsworth, United States Combined Insurance Full time

**This is a hybrid opportunity, 3 days in the office and 2 days remotely.**

**Responsibilities**
- Will oversee 6 Direct reports who are responsible for their respective teams of TPA Oversight handlers
- Ensure high level of technical claim handling from professional claims staff.
- Interact with business management and direct leadership responsible for Major Accounts underwriting to communicate claim trends which impact the business.
- Ensure the TPA Oversight claims team operational activities meet with and integrate with organizational requirements for quality management, internal and external audits, compliance and privacy policies and procedures.
- Guide staff with the handling of TPA Oversight primary claims, ensuring appropriate internal stakeholder coordination and execution.
- Analyze and provide appropriate direction on coverage and communicate coverage positions to appropriate parties.
- Provide outstanding customer service and works well with the insured, broker and TPA (when applicable) in the adjustment of claims.
- Set reserves within authority and make claim recommendations to senior management.
- Establish and maintains strong customer relations.
- Participate in regular and meaningful discussions with internal and external business partners.

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