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Senior Claims Specialist- TPA Workers' Compensation job in Exton

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Exton, Pennsylvania - PA AXA XL

Job Ref:	10005338D20240326
Employer:	AXA XL
Sector:	Investment P&C/General Insurance/Non-Life Reinsurance
Qualifications:	Unclassified
Job Type:	Full Time
Salary and Benefits:	$92,500 - $182,000 per year
Remote:	No
Location
Country:	United States
State/Province/County:	Pennsylvania - PA
City:	Exton
Post Code:	19341
Map:	(Show on map)
Description
Senior Claims Specialist - Workers Comp Exton, PA; Atlanta, GA; Dallas, TX; Chicago, IL; Los Angeles, CA; Walnut Creek, CA DISCOVERyour opportunity What will your essential responsibilities include? • Active direction of high-value workers' compensation claims venued throughout the United States for assigned clients in our US Risk Management, Construction Primary Casualty, or other supported underwriting teams. • Effectively coordinate coverage referrals and compliance related issues with Third Party Administrators ("TPAs"), Claim Management, and our Compliance Department. • Provide oversight, guidance, and direction to TPA claim adjusters in accordance with AXA XL best practices on all major phases of claim handling including coverage, investigation, compensability, medical management, disability management, evaluation/reserving, recovery, and resolution. • Collaborate with business partners, as appropriate, on claim management and strategy to help deliver the optimal outcomes and ensure, to the extent possible, that we are in alignment on our evaluation of the exposure and strategy to resolve claims. • Collaborate and consult with internal claim resources such as regional practice leaders and claim legal attorneys to ensure the most optimal outcome and mitigate claim expense. • Perform claim account management for assigned clients to communicate claim issues and results, participate in the TPA audit process, and collaborate on technical and service issues relating to the TPA performance and the client. • Collaborate proactively with internal and external stakeholders regarding claim experience, results, and trends (e.g. pricing actuaries, ceded reinsurance staff, credit risk and underwriters). • Provide input into the development of key metrics to support claim audits and assist in the coordination and retention of external counsel, as needed. You will report to the Workers' Compensation Claims Manager- TPA SHARE your talent SHARE your talent We're looking for someone who has these abilities and skills: • Advanced level claim handling experience involving high value/complex claim management and litigation management. • Defined expertise in managing catastrophic workers' compensation claims. • Multi-jurisdictional (U.S.) experience. • Demonstrated expertise in designated line(s) of business: Workers' Compensation. • Experience managing claims in an unbundled insurance model. • Courage and ability to positively influence external relationships. Coaches, sets expectations, evaluates, and holds people accountable for delivering. • Excellent verbal and written communication skills • Demonstrated negotiation skills. • Strong organizational and time management skills. • Demonstrated strategic thinking and a mindset for continuous improvement of internal processes and positive development of external relationships. • Strong teamwork and collaboration skills to effectively partner with Regional Practice Leads, Claim Legal, TPAs, and clients to produce desired outcomes, as well as with other internal and external stakeholders such as brokers, actuaries, ceded reinsurance staff, and underwriters to communicate claim results, experience, and trends. 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 strong 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. Learn more at axaxl.com Diversity & Inclusion We know that a diverse workforce and inclusive culture enable business growth and are critical to our success. That's why we have made a strategic commitment to attracting and retaining the most diverse workforce possible, while creating a strong, inclusive culture where everyone is welcome and can contribute and reach their highest potential. • Named to the Diversity Best Practices Index - 2017, 2018 • Signatory to the CEO Action for Diversity • Signatory to the UK Women in Finance Charter • Twelve Colleague Resource Groups around the Globe • Robust support for Flexible Working Arrangements • Enhanced family friendly leave benefits The U.S. pay range for this position is ($92,500- $182,000). Actual pay will be determined based upon the individual's skills, experience, and location. We strive for market alignment and internal equity with our colleagues' pay. At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. Wealsobelieve in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details aboutAXA XL's benefits offerings, please visit US-Benefits-at-a-Glance_2023_US.pdf (myaxaxlbenefits.com) .

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