Programs Claims Associate North America

AXIS (AXIS Capital); Red Bank (NJ); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical plans for you and your family

Retirement plans

Tuition reimbursement

Paid vacation

Job summary

AXIS Capital is seeking a Programs Claims Associate to join the North America Claims team. You will support quality, accuracy, and performance of Program claims while developing skills in investigation, evaluation, negotiation, and resolution of insurance claims.

The role reports to the Head of North America Programs Claims and requires collaboration with brokers, insureds, TPAs, and MGAs to ensure superior service and coverage awareness.

Qualifications

• Bachelor’s degree or 3+ years of equivalent claims handling/underwriting experience in lieu of degree.
• Claims adjuster license highly preferred.
• Experience or exposure to handling commercial Programs claims on behalf of a syndicate, insurance company, broker, loss adjuster or solicitor preferred.
• Excellent multi-tasking and time management skills are required.
• Excellent written and verbal communication skills, to liaise with numerous customers, both internal and external.
• Intermediate to Advanced experience with Excel, Word and PowerPoint preferable.
• Experience with OneNote and Office Products including Outlook highly desired.
• Ability to successfully work in hybrid and self-directed work environment.

Responsibilities

• Oversee and support Programs Claims for a wide variety of TPAs across jurisdictions.
• Assert understanding of policy wordings to validate coverage and address issues.
• Triaging first notice of loss and leveraging a network of service providers.
• Approve accurate claim reserves and escalate to Head of Programs claims when needed.
• Prepare coverage positions for review and approval by the Head of Programs claims.
• Collaborate with TPAs, Independent Adjusters, legal advisors and MGAs to maintain premier service.
• Develop knowledge of legal frameworks and claims practices across jurisdictions.
• Monitor assigned claims and develop resolution strategies.
• Maintain productivity and claims handling cycle time, plus ongoing skill development.
• Validate indemnity and fee payments and monitor bordereaux and ISO reports.

Skills

Multitasking

Time management

Written communication

Verbal communication

Excel

PowerPoint

Word

OneNote

Outlook

Hybrid work

Education

Bachelor’s degree or 3+ years claims experience

Claims adjuster license (preferred)

Tools

Excel

Word

PowerPoint

OneNote

Outlook

Job description

This is your opportunity to join AXIS Capital – a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.

At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.

All qualified applicants will receive consideration for employment without regard to any protected characteristic, including age, color, disability, ethnicity, gender identity, marital status, national origin, pregnancy, race, religion, sex, sexual orientation, veteran status, or any basis prohibited by the laws that govern its operations.

AXIS Capital,

Programs Claims Associate, North America

About AXIS

This is your opportunity to join AXIS Capital – a leading provider of specialty insurance and global reinsurance. We give people and organizations the confidence to take necessary risks in the pursuit of their goals and ambitions. Our strength is grounded in our people and culture, which encourages collaboration, diversity, and entrepreneurialism.

Life at AXIS

• Hybrid work model: We value work-life balance and offer flexibility to our employees through a hybrid work model
• Diverse and inclusive environment: We celebrate diversity and strive to create an inclusive environment for all employees
• Career growth opportunities: We are committed to your professional development and offer various opportunities for growth advancement
• Social impact initiatives: We believe in making a difference and support various social and environmental causes

Job Description

AXIS is seeking a Programs Claims Associate to join our North America Claims team and support the continued growth of AXIS’ Programs business in North America. As a direct report to the Head of North America Programs Claims, the successful candidate will be responsible for supporting the quality, accuracy, and performance of Program claims. Working under supervision, this role will develop skills in investigating, evaluating, negotiating, and resolving insurance claims while gaining hands‑on experience with coverage analysis, claim strategy, vendor coordination, and fair claim outcomes for policyholders.

This role will also be responsible for delivering the AXIS North America Claims value proposition engaging with stakeholders, brokers, and insureds to ensure constant communication and service engagement distinguishes AXIS claims every day.

This role will lead and develop a team of claims professionals to provide best‑in‑class service and are responsible for:

• Oversight of Programs Claims for a wide variety of TPAs in various jurisdictions and reporting to the Head of Programs claims
• Ensures understanding and administration of claim policies, procedures, and practices in accordance with company and policy standards
• Triaging of first notification of loss, efficiently utilizing an established network of service providers
• Approve accurate claim reserves and make referrals to Head of Programs claims where necessary
• Review policy wordings to validate coverage for claims and elevate any issues arising
• Prepare coverage positions to be reviewed and approved by the Head of Programs claims
• Work closely with TPAs, Independent Adjusters, external legal advisors and MGAs ensuring a premier claims service to clients is maintained, escalating issues as appropriate
• Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which the claims arise
• Monitor and investigate assigned claims and develop a resolution strategy
• Maintain satisfactory levels of productivity / claims handling cycle time.
• Continue job skill development through training.
• Responsible for Cycle time, Severity, Quality of claims, Customer Satisfaction level, Professional development of self
• Additional responsibilities for this role include validation of indemnity and fee payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting,

Axis Culture and Values – everyday demonstrate the Axis behaviors that support and align with AXIS values: People, Decisiveness, Excellence and Stronger Together

KEY SKILLS & ABILITIES:

Bachelor’s degree or 3+ years of equivalent claims handling/underwriting experience in lieu of degreeClaims adjuster license highly preferredExperience or exposure to handling commercial Programs claims on behalf of a syndicate, insurance company, broker, loss adjuster or solicitor preferredExcellent multi-tasking and time management skills are requiredExcellent written and verbal communication skills, to liaise with numerous customers, both internal and externalIntermediate to Advanced experience with Excel, Word and PowerPoint preferableExperience with OneNote and Office Products including Outlook highly desiredAbility to successfully work in hybrid and self-directed work environment

For this position, we currently expect to offer a base salary in the range of $65,000 - $95,000. Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location.

In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.

Where this role is based in the United States of America, this role is Exempt for FLSA purposes.

This posting is for an existing vacancy.