Complex Claims Director - Tpa Oversight

Western World Insurance Company

Lenexa, KS, United States
**
Analyze and process bodily injury claims
Third-party property damage claims
Evaluate coverage issues
** Western World Insurance Company seeks a Complex Claims Director for TPA Oversight in Lenexa, KS. The role involves managing complex claims, ensuring effective resolution strategies, and working closely with internal partners and external vendors. **

Job Summary

  • As Complex Claims Director – TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim.
  • You will identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary.
  • Partner with TPA Governance and Relationship Management to help TPA’s and Insureds comply with claim handling and reporting guidelines.

Matching Summary

Match Score: 75

** Western World Insurance Company seeks a Complex Claims Director for TPA Oversight in Lenexa, KS. The role involves managing complex claims, ensuring effective resolution strategies, and working closely with internal partners and external vendors. **

Skills & Requirements

Must-have

  • analyze and process bodily injury claims
  • third-party property damage claims
  • evaluate coverage issues
  • assess liability and resolve claim
  • coordinate vendor referrals
  • calculate and assign timely reserves
  • communicate with internal business partners
  • partner with TPA Governance

Nice-to-have

  • reimagining the way we help customers
  • proven problem solvers of choice
  • responsive, fair and professional service
  • create an unparalleled global claims handling experience
  • culture that celebrates everyone
  • culture of inclusion and belonging

Key Requirements

  • 7 plus years of General Liability/Auto claims experience
  • Experience with complex and high exposure claims
  • Advanced experience in litigation claims management
  • Strong technical expertise interpreting insurance contracts
  • In depth knowledge of claim handling procedures
  • Advanced analytical and problem solving skills
  • Demonstrated ability to initiate and champion change initiatives

Work Rights

Not specified

Tailored Resume

Cover Letter