Claims TPA Governance Analyst

AIG InsuranceAtlanta, GA
1dOnsite

About The Position

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims TPA Governance Analyst to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team. Make your mark in Claims TPA Reporting directly to the Claims TPA Regulatory Manager, the role will support the oversight of all North American state and province regulatory matters relating to third-party administrators handling claims on behalf of AIG. This role helps to ensure that AIG’s TPA partners operate in alignment with state and province requirements, company standards, and contractual obligations. Position Description Full Time US-based employment, Claims TPA Governance. The Claims TPA Governance Analyst shall be responsible for the following activities:

Requirements

  • Bachelor’s degree in business or related field and/or equivalent combination of experience; insurance or financial services industry preferred.
  • Minimum 5 years prior experience working with TPAs in the NAM regulatory space.
  • Knowledge of regulatory best practices and state, province, and carrier requirements.
  • Excellent communication skills (verbal, written, presentation) are needed to ensure sourcing strategies and tactical decisions are based on fact and data.
  • Ability to influence and resolve complex regulatory issues.
  • Strong organizational, customer service and leadership/influencing skills.
  • Ability to prioritize multiple tasks and meet strict deadlines.
  • Proficiency in MS Excel (advanced formulas, pivot tables, MS Word, PowerPoint, and MS Outlook.
  • English

Nice To Haves

  • Understanding of quality controls and risk management disciplines is a strong asset.

Responsibilities

  • Monitor changes in state, federal, and market conduct regulatory requirements impacting claims handling and TPA activities.
  • Ensure TPA partners maintain compliance with claims regulations, including timeliness standards, documentation rules, licensing requirements, privacy laws, and unfair claims practices statutes.
  • Identify compliance risks and support corrective action plans with internal stakeholders and TPA leadership.
  • Prepare and support responses to Department of Insurance (DOI) inquiries, data calls, market conduct exams, and regulatory filings related to TPA-handled claims.
  • Serve as a liaison between Claims, Compliance, Legal, and external TPA partners.
  • Support the response to and compliance with state regulatory audits and fines.

Benefits

  • At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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