Senior Claims Specialist, Property Programs Claims

AXIS•Alpharetta, GA

7h•Hybrid

About The Position

AXIS is seeking a Senior Claims Specialist, Property Programs Claims, to join our North America Claims team reporting to the Head of Property Program Claims. This position requires senior claims management and handling expertise for both the oversight and management of TPA handled claims. This is primarily a property position, but multi-line experience is a plus. This role will handle complex commercial property claims, provide best-in-class service and be responsible for handling oversight claim files involving complex and severe loss in various jurisdictions as defined by escalation criteria and claims guidelines. The role involves setting accurate claim reserves, preparing coverage positions, working closely with Independent Adjusters, external legal advisors and brokers, monitoring and investigating claims, developing resolution strategies, and auditing Third-Party Administrators. It also focuses on claim performance, ULAE spend reduction, compliance, quality assurance, and advancing specialty leadership through developing relationships with brokers, MGA & TPA partners, supporting Underwriting & Distribution, and collaborating with internal partners. The role also emphasizes timely file closure, enhancing utilization of analytics tools, and participating in the Axis-wide data analytics strategy.

Requirements

Bachelor’s degree preferred - JD a plus
In lieu of preferred education, minimum of 5-7 years of adjusting experience, with coverage and litigation management experience
Valid licenses by state as required and add states to certifications as needed
Good interpersonal communication skills
Excellent Microsoft Office Skills – Word, Excel, Outlook PowerPoint, OneNote and SharePoint
Excellent writing skills
Proven success working in a hybrid work environment
Working experience of the MGA/TPA relationship
Confidence in coverage, evaluation and reserving
Solid negotiation and excellent settlement skills

Nice To Haves

Multi-line experience is a plus
General Liability, Construction Defect, Auto and Garagekeepers Coverage knowledge is preferred

Responsibilities

Handling oversight claim files involving complex and severe loss in various jurisdictions as defined by escalation criteria and claims guidelines.
Set accurate claim reserves and make referrals to Head of Property Programs where necessary.
Prepare coverage positions to be reviewed and approved by Head of Property Programs Claims.
Work closely with Independent Adjusters, external legal advisors and brokers ensuring a premier claims service to clients is maintained, escalating issues as appropriate.
Monitor and investigate claims and develop resolution strategy.
Auditing of Third-Party Administrators to ensure reserve adequacy.
Ensuring TPA compliance with reportable criteria via regular auditing and stewardship meetings.
Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving- including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds and Axis.
Identify opportunities for and execute on the reduction of ULAE spend, including Monitoring Counsel and Coverage Counsel & identify opportunities the increased use of internal Severity and Coverage resources.
Compliance & Quality Assurance – Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management Action Plans for all claims groups in Axis Claims.
Advance Specialty Leadership – Develop strong relationships with key brokers, MGA & TPA partners, support Underwriting & Distribution.
Support UW w/ Claims Participation at strategically important events/meetings.
Drive deeper relationships and collaboration with internal partners across sharing large loss updates, trend updates and ensuring all data in claim files is accurate.
Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners including targeted “peer to peer” contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured.
Exhibit “best-in-class” claim handling behaviors as measured by feedback from internal and external business partners as well as MIA results.
Close files in a timely and efficient manner to ensure appropriate staffing models and that target operating models are fit for purpose and cost effective. Continue execution of the North America Target Operating Model work to identify areas for improvement grounded in the principles of How We Work and continuous improvement. Maintain a personal closing ratio of at least 100% - or as close as possible- without sacrificing appropriate claim handling and accurate reserves.
Claims Management & Analytics – Enhance utilization of analytics tools (e.g., claims handler score cards and other Power BI reports to improve claims performance. Participate in and support the Axis-wide data analytics strategy and efforts to build the claims data platform sharing claims expertise and subject matter expertise.