Claims Manager - TPA Workers Comp

Company: AXA Group
Location: Hartford
Posted on: April 23, 2025

Job Description:

Claim Manager - TPA Workers' Compensation ClaimsUSAOur 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 opportunityWhat will your essential responsibilities include?

• Line leadership of Claim Specialists directing high-value Workers' Compensation claims handled by third-party administrators ("TPAs") filed throughout the United States for our US Risk Management, Construction, Mid-Market, Programs, and other underwriting teams.
• Approval of coverage letters or coordination of complex coverage referrals to Claim Legal and outside coverage counsel.
• Resolution of compliance-related issues with TPAs, Claim Management, and our Compliance Department.
• Direction of TPAs in accordance with AXA XL best practices in the major phases of claim handling including coverage, investigation, evaluation, reserving, recovery, and resolution. Evaluation and provision of reserve and settlement authority within AXA XL parameters.
• Delivery of superior customer service to policyholders and brokers, ensuring the same high customer service standards are upheld internally and by TPAs.
• Collaboration with internal claim resources such as regional practice leaders and Claim Legal to ensure optimal outcomes and mitigation of claim expense. Collaboration with others, as appropriate, on claim management and strategy to deliver optimal outcomes and ensure, to the extent possible, that we are aligned on our evaluation of the exposure and strategy to resolve it.
• Coordination with Claim Account Management to communicate claim issues and results, support the TPA audit process, and collaborate on technical and service issues relating to the TPA performance and our policyholders.
• Identification and presentation of claim results, trend information, and lessons learned to internal and external stakeholders-- actuaries, auditors, brokers, credit risk, customers, outward reinsurers, and underwriters.
• Recommendation of additional metrics to support team and departmental goals.You will report directly to the Head of Primary Casualty Claims.SHARE your talentWe're looking for someone who has these abilities and skills:Required Skills and Abilities:

• Advanced skills in the investigation, evaluation, negotiation, and resolution of high value/complex Workers' Compensation Claims.
• Defined expertise in identifying, analyzing, and resolving coverage and compliance issues.
• Multi-jurisdictional (U.S.) experience.
• Significant experience managing claims in an unbundled insurance model.
• Demonstrated leadership through courage and ability to influence actions of internal and external relationships. Coaches, sets expectations, evaluates, and holds people accountable for delivering.
• Excellent verbal and written communication skills.
• Advanced organizational and time management skills.
• Ability to think strategically and own continuous improvement of processes to maximize claim outcomes and manage the performance of external trading partners.
• Excellent teamwork and collaboration to work effectively with internal and external stakeholders.FIND your futureAXA 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 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 at Inclusion & DiversityAXA 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. That's 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. It's 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 CharterLearn more at . AXA XL is an Equal Opportunity Employer.SustainabilityAt 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. We're 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. We're 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 XL's "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 see axaxl.com/sustainabilityThe U.S. pay range for this position is $130,000-$227,500 USD. 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. We also believe 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 about AXA XL's benefits offering, please visit .
      #J-18808-Ljbffr

Keywords: AXA Group, Albany , Claims Manager - TPA Workers Comp, Accounting, Auditing , Hartford, New York