AVP, Programs Claims, North American Claims Group

Take the next step in your career with us. Allied World is an ideal place for talented professionals who are driven by a belief in the value of collaboration and the power of knowledge. We believe that when our great people work together and support one another, our clients receive the best solutions. We embrace unique perspectives and empower each person to grow through professional development, career training and mentoring programs. Our people are our most important asset, and we are very proud of the quality of our team members. Job Title: AVP, Programs Claims, North American Claims Group Department: Claims Job Summary: Work with the members of the Programs Claims Team to drive strategic initiatives in the handling of various claims which are being directly handled by the Company’s third-party administrators (“TPAs”). Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations and technology. Job Duties: Develop project plans, manage milestones, and monitor key metrics to report progress to senior management. Lead end-to-end claims projects, from planning to execution, implementation, and post-go-live support. Identify and eliminate obstructions to progress through better procedures, training, and policy enforcement. Prepare and maintain regular reports on plan implementation, key metrics, and plan execution. Work with members of the Programs Claims Team to help execute and drive forward strategic initiatives. Help mentor members of the Programs Claims Team. Approve reserves, payments and other actions consistent with authority. Conduct periodic claim file reviews and monitor claim litigation. Provide back-up for claim staff. Interact with outside TPA supervisors and program administrators regarding claims oversight, trends, etc. Conduct TPA audits along with analysts on the team. Interact with underwriters concerning claims trends and strategic initiatives. Interact with Legal & Compliance as necessary regarding enhancements/modifications to policy forms and endorsements as well as the TPA service agreements. Meet with actuaries and finance as required. Interact with Claim Operations as necessary regarding enhancements to claims systems and other operational issues. Assist with claims related queries in internal and external audits. Work with reinsurers as needed. Job Requirements: A minimum of 10 years’ experience handling liability insurance claims or related relevant experience although experience in handling professional liability claims is preferred. Experience overseeing TPAs is strongly preferred. Bachelor’s degree is required, but a J.D. is preferred. Experience with project management including setting goals and metrics and managing the project through completion. Strong leadership and communication skills with substantial knowledge of issues underlying a variety of General Liability, Environmental, and/or Property claims. Excellent negotiation and communication skills including technical writing. Ability to manage internal and external relationships and staff development. Ability to develop and implement departmental policies and procedures, analyze coverage and instruct and collaborate with counsel regarding litigation strategy and claim resolution, and resolve claims and otherwise act within the scope of delegated authority. Work requires the ability to read, comprehend and analyze written materials quickly and to use a computer for long periods of time. Some travel required. The salary range for this role is between: Our generous benefits package includes: Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity Employer. All qualified applicants will be considered for employment without consideration of any disability, veteran status or any other characteristic protected by law. Working at Allied World Our team of over 1,650 professionals has deep expertise in the industry. They enjoy their work, and many have served for several years. This is what you can expect when you join us: Instant membership in the Allied World — a global network of colleagues who will support your career journey A manager who will help you build your career through a structured coaching program Access to a full suite of learning and development tools and resources Global Presence Headquartered in Bermuda, Allied World has offices in Atlanta, Boston, Brisbane, Chicago, Costa Mesa, Dallas, Dublin, Farmington (CT), Hong Kong, Houston, London, Los Angeles, Malaysia, Manchester, Miami, Nashville, New Jersey, New York, Philadelphia, San Francisco, Singapore, Sydney, Switzerland and Toronto. We strive to provide exceptional service to our clients and distribution partners. #J-18808-Ljbffr UAN Allied World National Assurance Company