Commercial Claims Adjuster, TPA Oversight

Commercial Claims Adjuster, TPA Oversight At AIG, we are reimagining the way we help customers to manage risk. Responsibilities Analyze and process first party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost‑effective resolution of claims through well-developed action plans. Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs. Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary. Assess exposure and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within a timely manner. Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim. Refer case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner. Attend arbitrations, mediations, settlement conference and trials. Successfully complete required State licensing examinations and continuing education requirement. Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends. Partner with TPA Governance and Relationship Management to help TPAs and Insureds comply with claim handling and reporting guidelines. Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials. Qualifications 4 plus years of Property claims experience. Experience with complex and high exposure Property damage and Business Interruption claims. Excellent communication skills (verbal/written) and strong negotiation skills. Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures. Strong technical expertise interpreting insurance contracts. In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices. Advanced analytical and problem solving skills. Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking. Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential. Compensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan. In addition, we offer a range of competitive benefits. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to View email address on click.appcast.io. #J-18808-Ljbffr Dormont Manufacturing Co