Claims Adjuster, TPA Oversight at AIG

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

4 plus years of General Liability/Auto claims experience
Experience with complex and high exposure General Liability Bodily Injury and Property damage claims
Excellent communication skills (verbal/written) and strong negotiation skills
Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures
Strong technical expertise interpreting insurance contracts
In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices
Advanced analytical and problem solving skills
Demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking
Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives
Successfully complete required State licensing examinations and continuing education requirements

Responsibilities

Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans
Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs
Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary
Assess liability and resolve claim within established evaluation
Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution
Process and pay invoices within a timely manner
Coordinate vendor referrals for additional investigation and/or litigation management
Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim
Refer case as appropriate to supervisor and management; respond to requests or directions in a professional and timely manner
Attend arbitrations, mediations, settlement conferences, and trials
Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends
Partner with TPA Governance and Relationship Management to help TPAs and Insureds comply with claim handling and reporting guidelines
Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials

Skills

Key technologies and capabilities for this role

Claims AdjustingTPA OversightBodily Injury ClaimsProperty Damage ClaimsCoverage AnalysisLiability AssessmentReserve ManagementVendor CoordinationLitigation Management

Questions & Answers

Common questions about this position

What experience is required for the Claims Adjuster TPA Oversight role?

Candidates need 4 plus years of General Liability/Auto claims experience, including experience with complex and high exposure General Liability Bodily Injury and Property damage claims.

What key skills are needed for this position?

Excellent communication skills (verbal/written), strong negotiation skills, and advanced experience in litigation claims management including ADR and mediation processes are required.

Is the Claims Adjuster TPA Oversight role remote or office-based?

This information is not specified in the job description.

What is the salary or compensation for this position?

This information is not specified in the job description.

What makes a strong candidate for the Claims Adjuster TPA Oversight role?

A strong candidate will have 4+ years of General Liability/Auto claims experience, handling complex high-exposure claims, excellent communication and negotiation skills, and advanced litigation management expertise including ADR and mediation.

AIG

Global insurance provider for individuals and businesses

About AIG

AIG provides a variety of insurance products and services aimed at individuals, families, and businesses. Their offerings include life insurance, retirement planning, and commercial insurance, which help clients manage risk and protect their assets. AIG operates by underwriting insurance policies and managing risk, while also investing the premiums collected to generate income. This company stands out from competitors by not only focusing on traditional insurance but also emphasizing cybersecurity and data protection to keep clients' information safe. AIG's goal is to help clients achieve financial security and peace of mind through comprehensive insurance solutions.

New York City, New YorkHeadquarters

1919Year Founded

IPOCompany Stage

Cybersecurity, Financial ServicesIndustries

10,001+Employees

Benefits

Health, dental, & vision coverage

Flexible Spending Accounts (FSA)

401(k)

PTO

Commuter Expense Reimbursement Account

Risks

Sale of personal travel business may reduce AIG's market presence in travel insurance.

Expansion in Atlanta could pose financial risks if expected growth does not materialize.

Deconsolidation of Corebridge Financial might lead to loss of synergies and increased costs.

Differentiation

AIG offers a wide range of insurance products globally, serving diverse client needs.

Corebridge Financial, a subsidiary, enhances AIG's offerings in retirement planning and financial futures.

AIG emphasizes cybersecurity and data protection, ensuring clients' information remains secure.

Upsides

AI adoption in underwriting and claims processing enhances efficiency and reduces costs for AIG.

InsurTech partnerships offer AIG opportunities to enhance digital capabilities and drive innovation.

Telematics and usage-based insurance allow AIG to offer personalized and flexible products.

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