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Senior Claims Specialist
2 months ago
We are seeking a highly skilled Senior Claims Specialist - Surety to join our North America Claims team at AXIS Capital. This role will report to the Head of TPA & Programs Claims and will be responsible for the handling of Surety Claims.
Key Responsibilities- Direct management of claims, including investigation, analysis, and evaluation of coverage liability and damages, within best practices.
- Providing technical advice, training, and guidance to direct reports and TPA/Contractor adjusters, including strategic direction.
- Recruiting, hiring, and retaining top talent and developing appropriate succession plans.
- Reviewing claims to determine the nature of loss, coverage provided, and scope of claim, and guiding strategic direction regarding settlement/disposition of claims.
- Developing and maintaining relationships with internal and external partners as the lead contact within the claims department for assigned claims and the claims of direct reports.
- Collaborating with the Specialty Complex Claims team regarding coverage disputes, including litigation and arbitration matters initiated by Axis issuing companies and when Axis issuing companies are parties to such litigation.
- Escalating coverage issues and recommending outside coverage counsel assignments for approval where warranted.
- Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.
- Managing costs, including use of coverage counsel and litigation costs, and collaborating with the Litigation Management and Vendor Management teams to ensure cost management and the development and enhancement of vendor panels.
- Fostering relationships and communicating extensively with senior executives, brokers, reinsurers, actuaries, underwriters, insureds, and auditors (both external and internal).
- Supporting underwriting inquiries and information requests regarding policy construction and drafting, reporting claim trends, data analysis, and risk assessments.
- Maintaining documentation of key line of business statistics and metrics.
- Leading and participating in presentations and discussions with Underwriters and Insureds on large losses and claim trends.
- Leading and participating in claim audits, audit wrap-up meetings, and formal result reporting.
- Identifying liability and coverage trends and issues with both individual and portfolio impact and formulating processes and strategies for handling such claims, ensuring accurate and consistent claims management across impacted underwriting segments and lines of business.
- Actively coaching and mentoring direct reports, providing regular feedback, and developing employees for broader roles and responsibilities that support professional growth and development, working collaboratively with HR Business partner support and guidance.
- 5-10+ years of claims management experience in Surety Claims.
- Demonstrated leadership, organizational, and management skills or experience practicing law as well as claims management (both directly managed and TPA managed claims).
- Demonstrated ability to influence and collaborate at all organizational levels, both internally and externally, as well as the ability to identify and resolve complex, disputed claims.
- Analytical thinker that can drive results using all facets of the legal and claims processes.
- Understanding of and ability to balance both the immediate claim issues as well as the broader portfolio impact and customer service impact of coverage disputes and issues.
- Excellent oral and written communication skills with the ability to deal effectively with people with conflicting expectations, differing opinions, and multiple viewpoints.
- Demonstrated ability and experience handling casualty claims involving a wide variety of loss scenarios as well as reporting and presenting about same to senior management.
- In-depth knowledge of claims, litigation, arbitration, and trial processes as well as excellent analytical, investigative, and negotiating skills.
- Bachelor's degree required. JD a plus.
- Technical knowledge, skills, and training within the field to include complex coverage analysis and experience required, confidence in coverage, evaluation, and reserving, excellent writing and editing skills, solid negotiation and settlement skills, supervisory perspective, with experience providing direction and authority to adjusters, familiarity with KPI, Data, and Metrics a plus, valid licenses by state as required and add states to certifications as needed.
- Travel is associated with this role (e.g., team management, court proceedings, mediations, and settlement).
We offer a competitive salary range of USD $145,000 - $170,000, 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. We also offer a comprehensive and competitive benefits package, including medical plans for employees and their families, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.
