
NAM Claims TPA Manager
- Atlanta, GA
- Permanent
- Full-time
- Lead TPA engagements for allocated TPAs to comply with AIG’s Global Third-Party Risk Management Policy and Standards.
- Lead the governance oversight/management of allocated NAM TPAs.
- Work with Underwriting and Program Managers to secure renewals and new business opportunities for “unbundled business” through the use/approval of TPAs.
- Drive due diligence requirements for TPA onboarding to include onsite competency evaluations to ensure TPA meets AIG fitness requirements.
- Serve as an escalation point of contact for issue resolution that put the AIG customer/client experience at risk related to TPAs.
- Partner with designated business groups in the management of client File Transfers (TPA to TPA Transfers/AIG to TPA or TPA to AIG).
- Communicate and/or educate TPAs regarding applicable AIG claims procedures, protocols and claim handling expectations.
- Evaluation of TPA performance through onsite operational audits, coordination with AIG’s technical claim audits and TPA key claim performance metrics.
- Drive TPA remediation activities/action plans as necessary to address poor performance.
- Lead relationships with allocated TPAs.
- Ensure accurate and timely responses / support to internal/external audits (PWC, State Regulatory, etc.)
- Bachelor’s degree preferred.
- 10+ years of experience with TPA’s in Commercial Claims Team Leadership/Management/Technical Claims Handling.
- Relationship/Partnership/Account management background – a plus.
- Strong claims and claims operational background.
- Strong understanding of the insurance industry/market.
- A record of providing outstanding claim service and customer service experience.
- Excellent verbal and written communication skills with strong influencing communication skills.
- Experience in conflict resolution, or the ability to de-escalate tense situations - comfortable in a role that requires negotiation.
- Analytical skills, resourceful with the ability to search and find answers/market data as needed.
- Results oriented, and able to work well under pressure.
- Excellent organizational skills – very flexible with moving from project to project while keeping track of progress.
- Proficiency with MS Office software, Excel and PowerPoint.