Analyze and process bodily injury and property damage claims
Evaluate coverage issues and prepare coverage letters
Assess liability and resolve claims within established evaluation
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
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
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.
Skills & Requirements
Must-have
Analyze and process bodily injury and property damage claims
Evaluate coverage issues and prepare coverage letters
Assess liability and resolve claims within established evaluation
Coordinate vendor referrals for investigation and litigation
Communicate with internal business partners including underwriters
Partner with TPA Governance and Relationship Management
Nice-to-have
Proactive claims handling for prompt resolution
Empathy and efficiency in service delivery
Initiate and champion change initiatives
Creativity in resolving challenging business problems
Key Requirements
7 plus years of General Liability/Auto claims experience
Experience with complex and high exposure claims
Advanced experience in litigation claims management