Senior Claims Specialist - TPA Workers Comp

Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service and colleague development. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement.

DISCOVER your opportunity

What will youressential 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

Were looking for someone who has these abilities and skills:

Required Skills and Abilities:

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.

Effective organizational and time management skills.

Demonstrated strategic thinking and a mindset for continuous improvement of internal processes and positive development of external relationships.

Effective 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 dont 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.

Learn more ataxaxl.com

Inclusion & Diversity

AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic.

At AXA XL, we know that an inclusive culture and a diverse workforce enable business growth and are critical to our success. Thats why we have made a strategic commitment to attract, develop, advance and retain the most diverse workforce possible, and create an inclusive culture where everyone can bring their full selves to work and can reach their highest potential.Its about helping one another and our business to move forward and succeed.

• Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe
• Robust support for Flexible Working Arrangements
• Enhanced family friendly leave benefits
• Named to the Diversity Best Practices Index
• Signatory to the UK Women in Finance Charter

Learn more ataxaxl.com/about-us/inclusion-and-diversity.AXA XL is an Equal Opportunity Employer.

Sustainability

At AXA XL, Sustainability is integral to our business strategy.In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future.Our 2023-26 Sustainability strategy, called Roots of resilience, focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations.

Our Pillars:

• Valuing nature:How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society are essential to our future. Were committed to protecting and restoring nature from mangrove forests to the bees in our backyard by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans.
• Addressing climate change:The effects of a changing climate are far reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions.
• Integrating ESG:All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. Were training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting.
• AXA Hearts in Action:We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XLs Hearts in Action programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day the Global Day of Giving.

For more information, please seeSustainability at AXA XL.

The U.S. pay range for this position is USD $104,000-$182,000. Actual pay will be determined based upon the individuals 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 XLs benefits offerings, please visitUS Benefits at a Glance 2025.