TPA & Programs Claims Shared Services Lead - Alpharetta, United States - AXIS

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 race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.

TPA & Programs Claims Shared Services Lead

AXIS is seeking a TPA & Programs ClaimsShared Services Lead to join our TPA, Litigation and Vendor Management Services North America Claims team. As a direct report to the Head of Axis claims TPA, Litigation & Vendor Management, Claims Shared Services, the successful candidate should possess the ability to develop and execute a TPA & Program claim service model for Axis North America TPA & Programs Claims. The TPA & Programs lead will be a point of contact for claims generated by Program underwriting whether claims are handled by a TPA or are directly handled by Axis claims. The successful candidate is a result driven individual with a can-do mindset focused on continuous improvement and will execute a TPA claim servicing model to support Program underwriting leadership and the Head of TPA & Programs Claims with their objectives and strategies.

The successful Candidate will be responsible for:

• Developing and executing the vision of the Axis Claim TPA & Program function and integration within Axis North America Claims in conjunction with Axis Claims Program business
• Understanding, reporting, and enhancing due diligence in the management of Axis TPAs through all necessary stages (onboarding, offboarding, loss fund management, run-off, wind down and, oversight, bordereau ingestion etc.), including contract review and negotiation in collaboration with internal and external stakeholders
• Ensuring superior customer service quality, delivering a holistic and consistent contract management process, and developing productivity management and tracking for TPA claims & Programs business
• Driving initiatives to improve data acquisition, analytics and reporting metrics related to TPAs in partnership with TPAs and internal stakeholders in the development and execution of enhanced reporting, KPIs and scorecards to assist AXIS in understanding ongoing TPA relationships
• Managing costs, continuously improve operations, develop and enhancement of the TPA and Programs panels
• Scheduling and attending stewardship meetings with TPA's, and required stakeholders, building relationships, creating, and tracking action plans
• Reviewing, critiquing, measuring and, executing the processes around bordereau ingestion, data extraction and report creation to drive efficiency of TPA data
• Providing monthly, quarterly, and yearly dashboard reporting on TPA & Program claim metrics, financial impacts, and overall results
• Establishing policies, standards, processes, controls, and related documentation of best practices, guidelines, and workflows to ensure a center of excellence within TPA & Program claims
• Collaborating with Claims Quality Assurance and Compliance to implement appropriate quality and compliance reviews of vendor resources and support remediation initiatives with a focus on TPA's
• Driving key performance metrics and meet target audit results from all TPAs, in collaboration with key Axis stakeholders
• Collaborating with NA Claims Head of Claims, and Head of TPA & Program Claims, to support, create and/or deliver training to claim professionals and other stakeholders about TPA & Program handled claims guidelines, workflows, and processes
• Building and maintaining key relationships with internal stakeholders (e.g., peers, Underwriting, Actuarial, various claim management leaders) and external stakeholders (e.g., TPA's and Vendor's)
  
• Identifying and mitigating risks, managing, and resolving workflow, operational and any other issues related to the operating environment for Axis TPA & Program Claim management.
• Collaborating with NA Claims Head of Claims, Head of TPA & Program Claims, Program UWs, claim and underwriting operation and technology functions to identifying effective Change Management actions designed to facilitate organizational understanding, acceptance, and adoption of new process, procedures, and techniques to deliver a best-in-class TPA & Program handled claims over all lines of business in North America

Key Skills

• 5-10 years of experience with TPA managed claims in P&C commercial claims or reinsurance organizations and proven experience with TPA operations including management, oversight, reporting, and integration
• Ability to accomplish tasks in a dynamic environment with an aptitude for analyzing data and making practical and forward-looking decisions to drive success
• Excellent communication skills and demonstrated ability and experience supporting strategic initiatives impacting key stakeholders and reporting to senior management
• Experience working on cross functional teams, collaborating, actively participating, and delivering solutions
• Strong organizational, critical thinking, problem solving, analytical, and quantitative skills including the ability to analyze and interpret financial and claims data
• Broad experience working in a P&C Insurer or reinsurer other financial institution with a complex operating environment including both domestic and international operations
• Experience supporting the management of claims and implementation of cost containment strategies related to TPAs, and other vendors for P&C insurers
• Experience preparing business cases and doing cost benefit analyses supporting strategic initiatives impacting key stakeholders
• Proven prioritization skills with the ability to balance both the immediate needs with broader organizational strategies
• The ability to issue spot and escalate issues that could present challenges to a project or the organization.
• Strong conflict resolution skills to effectively deal with people with differing expectations and viewpoints
• Strong knowledge of and skills in use of various software and insurance platforms and systems including Bill Review systems such as Legal Exchange and claims systems as well as Word and Excel
• College and advanced degree (JD a plus)
• Travel is associated with this role

For this position, we currently expect to offer a base salary in the range of GA: $ K; Chi $ K; NY $ K . The specific salary offer will be based on an assessment of a variety of factors including the experience of the successful candidate and their work location. In addition, all employees are eligible for competitive incentive targets, with awards based on overall corporate and individual performance. On top of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.