Claims Manager - TPA Workers Comp

AXA Group; Exton (Chester County); On-site; USD 130,000 - 228,000; Full time

Job summary

An established industry player is seeking a Claim Manager to lead a team in managing complex Workers’ Compensation claims. This role involves directing third-party administrators, ensuring compliance, and delivering exceptional customer service. The ideal candidate will possess advanced negotiation and investigation skills, along with a strategic mindset for continuous improvement. Join a forward-thinking company that values diversity and sustainability, and be part of a team dedicated to excellence in claims management.

Benefits

Retirement plans

Health and wellness programs

Professional development opportunities

Qualifications

• Advanced skills in handling complex Workers’ Compensation Claims.
• Expertise in compliance issue resolution and negotiation.

Responsibilities

• Lead Claim Specialists in managing high-value Workers’ Compensation claims.
• Ensure compliance and resolve issues with TPAs and internal teams.

Skills

Investigation skills

Negotiation skills

Leadership skills

Communication skills

Organizational skills

Strategic thinking

Teamwork and collaboration

Job description

Claim Manager – TPA Workers’ Compensation Claims

USA

Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. We focus on excellence and creating a culture of continuous improvement, fostering collaboration, customer service, and colleague development. We build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement.

Discover your opportunity

What will your essential responsibilities include?

1. Line leadership of Claim Specialists directing high-value Workers’ Compensation claims handled by third-party administrators (“TPAs”) filed throughout the United States for various underwriting teams.
2. Approval of coverage letters or coordination of complex coverage referrals to Claim Legal and outside coverage counsel.
3. Resolution of compliance-related issues with TPAs, Claim Management, and our Compliance Department.
4. Direction of TPAs in accordance with AXA XL best practices in claim handling, including coverage, investigation, evaluation, reserving, recovery, and resolution, within AXA XL parameters.
5. Delivery of excellent customer service to policyholders and brokers, ensuring high standards are upheld internally and by TPAs.
6. Collaboration with internal claim resources and external partners to ensure optimal outcomes and mitigate claim expenses.
7. Coordination with Claim Account Management to communicate claim issues, support audits, and collaborate on performance and technical issues.
8. Presentation of claim results, trends, and lessons learned to stakeholders, including actuaries, auditors, brokers, reinsurers, and underwriters.
9. Recommending additional metrics to support team and departmental goals.

You will report directly to the Head of Primary Casualty Claims.

Share your talent

We’re looking for someone with these skills and abilities:

• Advanced skills in investigation, evaluation, negotiation, and resolution of high-value/complex Workers’ Compensation Claims.
• Expertise in identifying, analyzing, and resolving coverage and compliance issues.
• Multi-jurisdictional experience within the U.S.
• Significant experience managing claims in an unbundled insurance model.
• Leadership skills, including influencing internal and external relationships, coaching, setting expectations, evaluating, and accountability.
• Excellent verbal and written communication skills.
• Strong organizational and time management skills.
• Strategic thinking and ownership of continuous process improvements to maximize claim outcomes.
• Effective teamwork and collaboration skills with internal and external stakeholders.

Find your future

AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. We provide innovative risk solutions through a comprehensive capital platform, data-driven insights, leading technology, and talented professionals in an inclusive environment.

Learn more at axaxl.com

Inclusion & Diversity

AXA XL is committed to equal employment opportunity and fostering an inclusive culture and diverse workforce. We support various resource groups, flexible work arrangements, family benefits, and have received recognition for our diversity initiatives.

Learn more at axaxl.com/about-us/inclusion-and-diversity. AXA XL is an Equal Opportunity Employer.

Sustainability

Our sustainability strategy, "Roots of Resilience," focuses on valuing nature, addressing climate change, integrating ESG, and community involvement through our "Hearts in Action" programs. We aim to build a resilient future by protecting ecosystems, reducing our carbon footprint, and embedding sustainable practices.

For more information, see axaxl.com/sustainability.

The U.S. pay range for this position is $130,000-$227,500 USD, determined by skills, experience, and location. We offer comprehensive benefits, including retirement plans, health and wellness programs, and professional development opportunities. For details, visit US-Benefits-at-a-Glance_2025_US.pdf.