NAM Claims TPA Manager at AIG

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

Bachelor’s degree preferred
10+ years of experience with TPAs in Commercial Claims Team Leadership/Management/Technical Claims Handling
Relationship/Partnership/Account management background – a plus
Strong claims and claims operational background
Strong understanding of the insurance industry/market
A record of providing outstanding claim service and customer service experience
Excellent verbal and written communication skills with strong influencing communication skills
Experience in conflict resolution, or the ability to de-escalate tense situations - comfortable in a role that requires negotiation
Analytical skills, resourceful with the ability to search and find answers/market data as needed
Results oriented, and able to work well under pressure
Excellent organizational skills – very flexible with moving from project to project while keeping track of progress
Proficiency with MS Office software, Excel and PowerPoint

Responsibilities

Identify and mitigate AIG’s risk related to third party claim administrators by ensuring effective control and oversight strategies are in place and consistently executed
Serve as the “go-to” source for the NAM business in relation to TPAs, through knowledge of the claims operational/technical processes and the AIG/TPA business relationships
Balance the needs of multiple stakeholders, making sound decisions, utilizing claims experience, judgment, and risk mitigation mindset
Take ownership for key TPA performance outcomes for allocated TPAs, and day to day engagement and escalation resolution
Lead TPA engagements for allocated TPAs to comply with AIG’s Global Third-Party Risk Management Policy and Standards
Lead the governance oversight/management of allocated NAM TPAs
Work with Underwriting and Program Managers to secure renewals and new business opportunities for “unbundled business” through the use/approval of TPAs
Drive due diligence requirements for TPA onboarding to include onsite competency evaluations to ensure TPA meets AIG fitness requirements
Serve as an escalation point of contact for issue resolution that put the AIG customer/client experience at risk related to TPAs
Partner with designated business groups in the management of client File Transfers (TPA to TPA Transfers/AIG to TPA or TPA to AIG)
Communicate and/or educate TPAs regarding applicable AIG claims procedures, protocols and claim handling expectations
Evaluate TPA performance through onsite operational audits, coordination with AIG’s technical claim audits and TPA key claim performance metrics
Drive TPA remediation activities/action plans as necessary to address poor performance
Lead relationships with allocated TPAs
Ensure accurate and timely responses / support to internal/external audits (PWC, State Regulatory, etc.)

Skills

TPA Management

Claims Processing

Risk Mitigation

Due Diligence

Operational Audits

Governance Oversight

Stakeholder Management

Escalation Resolution

File Transfers

Claims Handling

Third-Party Risk Management

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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