![AXA Group](https://media.trabajo.org/img/noimg.jpg)
Large Loss Claims Specialist
2 months ago
Large Loss Claims Specialist - Construction
Los Angeles, CA, Atlanta, GA, Dallas, TX, Exton, PA, Chicago, IL, NYC, NY or Hartford, CT
At AXA XL, we deliver on our claims promise by having the best systems, the best people and the best partnerships in place. That's where our Construction Defect Claims team comes in. Construction Defect claims can be very complex. They require the right balance of knowledge and skills. In claims, experience matters. In construction claims, experience is essential.
As a Construction Defect Large Loss Claims Specialist, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims, through investigation, evaluation and disposition. This may require you to oversee and monitor underlying aggregates and primary files to ensure proper reporting of potential exposures to XL policies. You will handle a mix of claims involving admitted and non-admitted policies.You will be making appropriate recommendations to management on coverage and settlement. You will be proactive about the management and collection, organization and analysis of information, assurance of reserve adequacy, mitigation of AXA XL's Risk/Loss Exposure, management of litigation, and formulation of effective disposition strategies on all reported losses.
You will be performing complex work under limited supervision. As such, we will expect you to exercise independent judgment and decision making in accordance with specified policies and guidelines. You should possess a high level of procedural and/or technical knowledge that has been developed through extensive experience.
DISCOVER your opportunity
What will your essential responsibilities include?
·Technical claims management.
·Evaluation of the applicable AXA XL coverage and the drafting of coverage position letters without the assistance of outside counsel.
·Effectuation of appropriate risk transfer.
·Ensuring timely and adequate reserving and proper disposition of high exposure, complex claims. Monitoring reserving activity to ensure compliance with corporate policy.
·Conducting loss investigations on all assigned claims and determining where recoveries can be made working to the agreed standard time and budget constraints.
·Technical Oversight of Third-Party Administrators
·Maintaining accountability for all assigned claims until settlement/closure is reached.
·Determining exposure, establishing adequate reserves and making timely adjustments as required.
·Maintaining an accurate written record of relevant activities relating to the claim and ensuring that claims procedural and documentation standards are maintained. Providing accurate and timely claims status updates to internal and external customers.
·Timely reporting and communicating appropriately with reinsurers.
·Liaising and relationship building with internal local and global AXA XL departments.
·Summarizing and updating Claims Manager on a regular basis providing reports and statistical reporting where required.
·Maintaining market awareness and working with Claims Manager to maximize personal development.
·Anticipating and meeting all internal and external customer needs.
·Coaching or training less experienced claim representatives.
·Adherence to and management of expense budget.
You will report to the Claims Manager - Construction North America.
SHARE your talent
We’re looking for someone who has these abilities and skills:
Required Skills and Abilities:
·Significant progression towards insurance or Industry-related qualification is preferred.
·Advanced experience handling construction defect claims.
·Highest standards of personal and professional conduct.
FIND your future
AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don’t just provide re/insurance, we reinvent it.
How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business − property, casualty, professional, financial lines and specialty.
With an innovative and flexible approach to risk solutions, we partner with those who move the world forward.
Inclusion & Diversity
-
Claim Recovery Specialist
2 months ago
Los Angeles, United States Konkordia Phoenix PLC, Inc. Full timeJob DescriptionJob DescriptionSalary: CommissionPhoenix Loss Control is seeking qualified individuals to fill 1099 contractor openings for Claim Recovery Specialists. Phoenix Loss Control supplies investigation, billing and financial recovery services for telecommunications, cable, and utility providers across the United States who have experienced property...
-
Insurance Loss Control Specialist
6 days ago
Los Angeles, California, United States Lockton Full timeJob Overview: Establish and nurture consulting relationships with external stakeholders to achieve measurable enhancements in risk management. On a daily basis, collaborate with risk management professionals, safety leaders, and financial stakeholders to execute loss prevention strategies that effectively lower overall risk expenditures. Serve in a...
-
Field Property Claims Specialist
5 days ago
Los Angeles, California, United States American Family Insurance Agency Staff Full timeJoin Our Team at American Family Insurance Agency Staff At American Family Insurance Agency Staff, we are undergoing a significant transformation in our claims operations, focusing on enhancing customer experiences and effectively safeguarding their aspirations during challenging times. Our mission is to leverage our extensive knowledge, innovative...
-
Claims Assessment Specialist
5 days ago
Los Angeles, California, United States Preferred IPA of California Full timePOSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...
-
Safety and Loss Prevention Specialist
5 days ago
Los Angeles, California, United States Lockton Companies Full timePosition OverviewWe are seeking a dedicated Loss Control Consultant to join our team at Lockton Companies. In this pivotal role, you will assist our clients in enhancing their risk management strategies and minimizing overall expenses.Key ResponsibilitiesPartner with Risk and Safety Managers to devise and execute plans aimed at preventing accidents and...
-
Claims Assessment Specialist
5 days ago
Los Angeles, California, United States Avispa Technology Full timeClaims Assessment Specialist - Managed Care Providers Avispa Technology is looking for a skilled Claims Assessment Specialist to join our team. This role involves performing thorough reviews of claims and billing processes, managing denial resolutions, and processing various payer types including Medicare and Commercial Payers. The ideal candidate will...
-
Claims Processing Specialist
5 days ago
Los Angeles, California, United States Preferred IPA of California Full timePOSITION SUMMARYThe Claims Processing Specialist is tasked with ensuring the precise and prompt evaluation of claims submitted in CMS 1500 and/or UB-04 formats. This role involves managing all claims and related correspondence in compliance with Medicare and Medi-Cal regulations, contractual obligations, and established operational protocols. The Specialist...
-
Loss Control Team Lead
3 months ago
Los Angeles, United States Lockton Full timeJob Summary: Develop and maintain trust-based consulting partnerships with external clients that deliver quantifiable risk improvement. On a day to day basis work with risk managers, safety directors and/or financial buyers to implement loss control service plans and objectives that have a positive impact on total cost of risk. Work in a loss control and...
-
Managed Care Claims Specialist
1 hour ago
Los Angeles, California, United States Avispa Technology Full timeClaims Assessment Specialist - Managed Care Providers Avispa Technology is currently seeking a Claims Assessment Specialist to join a leading hospital and healthcare organization. This role involves conducting thorough reviews of claims and billing processes, managing denial resolutions, and processing various payer types including Medicare and...
-
Hospital Risk Claims Specialist
5 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewThe Hospital Risk Claims Specialist plays a crucial role in managing hospital-related risk claims, ensuring compliance with external regulations and the contractual commitments of Health Plans and/or Hospitals/IPAs. This position involves thorough research, review, and communication with provider services to resolve claims-related issues...
-
Claims Evaluation Specialist
5 days ago
Los Angeles, California, United States Avispa Technology Full timeJob OverviewClaims Review Specialist - Managed Care ProvidersA leading healthcare organization is in search of a Claims Review Specialist to perform comprehensive reviews of claims and billing processes, manage denial resolutions, and oversee transactions involving Medicare, Medi-Cal, and various Commercial Payers. The ideal candidate will possess over three...
-
Loss Prevention Specialist
6 days ago
Los Angeles, California, United States Hibbett Sports Full timeLoss Prevention SpecialistDepartment: OperationsFLSA Status: Non-ExemptReports To: Store ManagerOVERVIEWHibbett Sports is seeking dedicated individuals with strong ethical standards to join our team as Loss Prevention Specialists. This position demands a sharp eye for detail and a proactive approach to maintaining a secure environment.KEY...
-
Claims Processing Specialist
5 days ago
Los Angeles, California, United States OGara Coach Company Full timeJob OverviewOBJECTIVE:The Claims Processing Specialist is responsible for the preparation, documentation, and reconciliation of warranty claims, ensuring accurate submission to manufacturers and distributors for faulty components.KEY RESPONSIBILITIES:Evaluate warranty claims, confirming compliance with manufacturer or distributor requirements.Input necessary...
-
Claims Operations Support Specialist
5 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewPosition Summary:The Claims Operations Support Specialist plays a crucial role in facilitating the daily functions of the claims department. This position is designed to assist various sub-departments within Claims Operations, ensuring seamless workflow and efficiency.Key Responsibilities:• Digitally archive claims and relevant documents into...
-
Loss Prevention Specialist
5 days ago
Los Angeles, California, United States Macy's Inc. Full timePosition Overview:As a Loss Prevention Specialist at Macy's Inc., your primary responsibilities will include:Identifying and Apprehending: Detect and detain individuals involved in theft or fraudulent activities.Merchandise Recovery: Work diligently to recover stolen items and ensure the integrity of our inventory.Investigative Duties: Conduct thorough...
-
Insurance & Claims Manager
3 months ago
Los Angeles, United States Zeeba Automotive Group Inc Full timeJob DescriptionJob DescriptionJob SummaryAs an Insurance & Claims Manager, you will be Zeeba’s superstar insurance guru who will partner with our CX, Operations, and Sales departments to provide the best experience for our clients for insurance auto claims. The ideal candidate has experience negotiating and dealing with insurance providers, assessing...
-
Claims Settlement Specialist
5 days ago
Los Angeles, California, United States The Matian Firm, APC Full timeJob OverviewThe Matian Firm, APC is seeking a Claims Settlement Specialist to enhance our Personal Injury Department. This position involves overseeing and negotiating the resolution of personal injury claims prior to litigation. The ideal candidate will possess exceptional communication and negotiation abilities, substantial experience with insurance...
-
Claims Adjuster
7 days ago
Los Angeles, United States Comptech Associates Full timeJob Title: Claims Adjuster - Workers Compensation Duration: 3+ Months (CTH) Location: Los Angeles, CA No. of Positions: 2 Job schedule-40 hours on site Job hours-8:00-4:30 Interview process-WEBEX prescreen/Then in-person interview Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent...
-
Claims Adjuster
2 weeks ago
Los Angeles, United States Comptech Associates Full timeJob Title: Claims Adjuster - Workers Compensation Duration: 3+ Months (CTH) Location: Los Angeles, CA No. of Positions: 2 Job schedule: Hybrid (3 Days Onsite/2 Days Remote) Job hours-8:00-4:30 Interview process-WEBEX prescreen/Then in-person interview Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and...
-
Senior Claims Adjustment Specialist
6 days ago
Los Angeles, California, United States Motion Picture Industry Pension & Health Plans Full timePosition Overview:We are seeking a meticulous and experienced Senior Claims Adjustment Specialist to join our dynamic Medical Claims Department. This role is essential in ensuring the accurate and timely processing of medical claims adjustments.About the Organization:The Motion Picture Industry Pension & Health Plans (MPI) is a distinguished multi-employer...