Senior Claims Specialist

Senior Claims Specialist

Requirements

• Bachelor’s degree preferred – JD a plus
• In lieu of preferred education, minimum of 5-7 years of adjusting experience, with coverage and litigation management experience
• Valid licenses by state as required and add states to certifications as needed
• Good interpersonal communication skills
• Excellent Microsoft Office Skills – Word, Excel, Outlook PowerPoint, OneNote and SharePoint
• Excellent writing skills
• Proven success working in a hybrid work environment
• Working experience of the MGA/TPA relationship
• Confidence in coverage, evaluation and reserving
• Solid negotiation and excellent settlement skills
• General Liability, Construction Defect, Auto and Garagekeepers Coverage knowledge is required

Responsibilities

• Auditing of Third-Party Administrators to ensure reserve adequacy.
• Handling oversight claim files involving complex and severe loss as defined by escalation criteria and claims guidelines.
• Ensuring TPA compliance with reportable criteria via regular auditing and stewardship meetings.
• Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving- including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds and Axis.
• Identify opportunities for and execute on the reduction of ULAE spend, including Monitoring Counsel and Coverage Counsel & identify opportunities the increased use of internal Severity and Coverage resources.
• Compliance & Quality Assurance – Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management Action Plans for all claims groups in Axis Claims.
• Advance Specialty Leadership – Develop strong relationships with key broker, MGA & TPA partners, support Underwriting & Distribution
• Support UW w/ Claims Participation at strategically important events/meetings
• Drive deeper relationships and collaboration with internal partners across sharing large loss updates, trend updates and ensuring all data in claim files is accurate.
• Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners including targeted “peer to peer” contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured.
• Exhibit “best-in-class” claim handling behaviors as measured by feedback from internal and external business partners as well as MIA results.
• Close files timely and efficiently manner to ensure appropriate staffing models and that target operating models are fit for purpose and cost effective. Continue execution of the North America Target Operating Model work to identify areas for improvement grounded in the principles of How We Work and continuous improvement. Maintain a personal closing ratio of at least 100% – or as close as possible- without sacrificing appropriate claim handling and accurate reserves.
• Participate in How We Work efforts by providing constructive feedback and volunteering for initiatives.
• Claims Management & Analytics – Enhance utilization of analytics tools (e.g., claims handler score cards and other Power BI reports to improve claims performance. Participate in and support the Axis-wide data analytics strategy and efforts to build the claims data platform sharing claims expertise and subject matter expertise.
• Support and engage in Axis led corporate pillar initiatives supporting diversity & inclusion, environment, and philanthropy and Axis Employee resource groups.

Preferred Qualifications

• Preferred candidates will be able to commute to an AXIS office, we are a hybrid work environment 3 days a week.