Senior Claims Specialist - TPA Workers Comp

AXA XL; Atlanta (GA); On-site; USD 104,000 - 182,000; Full time

Job summary

AXA XL is seek a Senior Claims Specialist for TPA Workers Comp role in Atlanta, GA. The position entails managing complex workers' compensation claims, collaborating with various stakeholders, and ensuring optimal outcomes while driving continuous improvement. The ideal candidate will demonstrate strong claim handling, negotiation, and communication skills, contributing to AXA XL's mission of delivering exceptional service.

Benefits

Flexible Working Arrangements

Enhanced family-friendly leave benefits

Qualifications

• Advanced claim handling experience and litigation management.
• Expertise in managing catastrophic workers' compensation claims.
• Experience with multi-jurisdictional (U.S.) claims.

Responsibilities

• Manage high-value workers’ compensation claims.
• Coordinate coverage referrals with TPAs and ensure compliance.
• Provide oversight and guidance on major claim handling phases.

Skills

Claim Handling

Litigation Management

Notifying Stakeholders

Negotiation

Organizational Skills

Communication Skills

Teamwork

Job description

Senior Claims Specialist - TPA Workers Comp

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Senior Claims Specialist - TPA Workers Comp

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Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer service and colleague development. You build a team of passionate and innovative claims experts who see success as a reason to roll up their sleeves and drive for improvement.

What you’ll be doing

What will your essential responsibilities include?

• Active direction of high-value workers’ compensation claims venue throughout the United States for assigned clients in our US Risk Management, Construction Primary Casualty, or other supported underwriting teams.
• Effectively coordinate coverage referrals and compliance related issues with Third Party Administrators (“TPAs”), Claim Management, and our Compliance Department.
• Provide oversight, guidance, and direction to TPA claim adjusters in accordance with AXA XL best practices on all major phases of claim handling including coverage, investigation, compensability, medical management, disability management, evaluation/reserving, recovery, and resolution.
• Collaborate with business partners, as appropriate, on claim management and strategy to help deliver the optimal outcomes and ensure, to the extent possible, that we are in alignment on our evaluation of the exposure and strategy to resolve claims.
• Collaborate and consult with internal claim resources such as regional practice leaders and claim legal attorneys to ensure the most optimal outcome and mitigate claim expense.
• Perform claim account management for assigned clients to communicate claim issues and results, participate in the TPA audit process, and collaborate on technical and service issues relating to the TPA performance and the client.
• Collaborate proactively with internal and external stakeholders regarding claim experience, results, and trends (e.g. pricing actuaries, ceded reinsurance staff, credit risk and underwriters).
• Provide input into the development of key metrics to support claim audits and assist in the coordination and retention of external counsel, as needed.
  
  

You will report to the Workers’ Compensation Claims Manager- TPA

What you’ll bring

We’re looking for someone who has these abilities and skills:

Required Skills And Abilities

• Advanced level claim handling experience involving high value/complex claim management and litigation management.
• Defined expertise in managing catastrophic workers’ compensation claims.
• Multi-jurisdictional (U.S.) experience.
• Demonstrated expertise in designated line(s) of business: Workers’ Compensation.
• Experience managing claims in an unbundled insurance model.
• Ability to positively influence external relationships. Coaches, sets expectations, evaluates, and holds people accountable for delivering.
• Excellent verbal and written communication skills
• Demonstrated negotiation skills.
• Effective organizational and time management skills.
• Demonstrated strategic thinking and a mindset for continuous improvement of internal processes and positive development of external relationships.
• Effective teamwork and collaboration skills to effectively partner with Regional Practice Leads, Claim Legal, TPAs, and clients to produce desired outcomes, as well as with other internal and external stakeholders such as brokers, actuaries, ceded reinsurance staff, and underwriters to communicate claim results, experience, and trends
  
  

Who WE are

AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don’t just provide re/insurance, we reinvent it.

How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business − property, casualty, professional, financial lines and specialty.

With an innovative and flexible approach to risk solutions, we partner with those who move the world forward.

Learn more at axaxl.com

What we OFFER

Inclusion

AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That’s why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It’s about helping one another — and our business — to move forward and succeed.

• Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe.
• Robust support for Flexible Working Arrangements
• Enhanced family-friendly leave benefits
• Named to the Diversity Best Practices Index
• Signatory to the UK Women in Finance Charter
  
  

Learn more at Inclusion & Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer.

Total Rewards

AXA XL’s Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do.

We’re committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence.

Sustainability

At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called “Roots of resilience”, focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations.

Our Pillars

• Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future. We’re committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans.
• Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions.
• Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We’re training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting.
• AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL’s “Hearts in Action” programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving.
  
  

For more information, please see Sustainability at AXA XL.

The U.S. base salary range for this position is USD 104,000 - 182,000.

Actual pay will be determined based upon the individual’s skills, experience and location. We strive for market alignment and internal equity with our colleagues’ pay.

At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL’s benefits offerings, please visit US Benefits at a Glance 2025.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

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