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Claims Specialist

2 months ago

Princeton, United States AXIS Capital Full time

AXIS is seeking a

Claims Specialist

to join our North America Claims team reporting to the Manager of Casualty Claims. This position requires senior claims management and handling expertise for both the oversight and management of TPA handled claims. This is primarily a casualty position, but multi-line experience is a plus. Auditing of Third-Party Administrators to ensure reserve adequacy.

Handling oversight claim files involving complex and severe loss as defined by escalation criteria and claims guidelines.

Ensuring TPA compliance with reportable criteria via regular auditing and stewardship meetings.

Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving- including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds and Axis.

Identify opportunities for and execute on the reduction of ULAE spend, including Monitoring Counsel and Coverage Counsel & identify opportunities the increased use of internal Severity and Coverage resources.

Compliance & Quality Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management Action Plans for all claims groups in Axis Claims.

Advance Specialty Leadership

Develop strong relationships with key broker, MGA & TPA partners; support Underwriting & Distribution

Support UW w/ Claims Participation at strategically important events/meetings

Drive deeper relationships and collaboration with internal partners across sharing large loss updates, trend updates and ensuring all data in claim files is accurate.

Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners including targeted "peer to peer" contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured.

Exhibit "best-in-class" claim handling behaviors as measured by feedback from internal and external business partners as well as MIA results.

Close files timely and efficiently manner to ensure appropriate staffing models and that target operating models are fit for purpose and cost effective. Continue execution of the North America Target Operating Model work to identify areas for improvement grounded in the principles of How We Work and continuous improvement. Maintain a personal closing ratio of at least 100% - or as close as possible- without sacrificing appropriate claim handling and accurate reserves.

Participate in How We Work efforts by providing constructive feedback and volunteering for initiatives.

Claims Management & Analytics - Enhance utilization of analytics tools (e.g., claims handler score cards and other Power BI reports to improve claims performance. Participate in and support the Axis-wide data analytics strategy and efforts to build the claims data platform sharing claims expertise and subject matter expertise.

Support and engage in Axis led corporate pillar initiatives supporting diversity & inclusion, environment, and philanthropy and Axis Employee resource groups.

REQUIRED EDUCATION/TRAINING and EXPERIENCE: Bachelor's degree preferred

2 to 5 years of adjusting experience, with coverage and litigation management experience

Audit experience preferred

Valid licenses by state as required and add states to certifications as needed

KEY SKILLS & ABILITIES: Good interpersonal communication skills

Excellent Microsoft Office Skills - Word, Excel, Outlook PowerPoint, OneNote and SharePoint

Excellent writing skills

Proven success working in a hybrid work environment

Working experience of the MGA/TPA relationship

Confidence in coverage, evaluation and reserving

Solid negotiation and excellent settlement skills

General Liability, Construction Defect, Auto and Garagekeepers Coverage knowledge is required

For this position, we currently expect to offer a base salary in the range of $75K-$105K GA. The specific salary offer will be based on an assessment of a variety of factors including the experience of the successful candidate and their work location. In addition, all employees are eligible for competitive incentive targets, with awards based on overall corporate and individual performance. On top of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.

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