Senior Manager, Quality Assurance and Audit, North America Claims, Claims Shared Services AXIS Capital Holdings LtdSenior Manager, Quality Assurance and Audit, North America Claims, Claims Shared ServicesRed Bank, NJ$140,000–$160,000 / yearThis role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.
Senior Manager, Quality Assurance And Audit, North America Claims, Claims Shared Services Axis Capital Holdings LTDSenior Manager, Quality Assurance And Audit, North America Claims, Claims Shared ServicesPrinceton, NJ$140,000–$160,000 / yearThis role is ideal for a claims, audit, quality assurance, or compliance professional with strong technical claims judgment, experience assessing specialty claim handler performance, working knowledge of TPA or outsourced claims partner oversight, and the ability to translate audit and file review results into practical actions that improve claim outcomes. The successful candidate will plan, coordinate, monitor, and report on audits and quality file reviews across North America Claims, including specialty claim handler audits across multiple lines of business, TPA oversight audits, and leadership quality control file reviews.
NewSenior Claim Director, Specialty Complex Claims Axis Capital Holdings LTDSenior Claim Director, Specialty Complex ClaimsRed Bank, NJThe successful candidate will: Direct handle claims involving complex coverage issues as defined by the Head of North America Claims, including the investigation, analysis and evaluation of coverage liability and damages, within best practices Direct handle coverage disputes, including litigation and arbitration matters initiated by AXIS issuing companies and when AXIS issuing companies are parties to such litigation Formulate claims and litigation strategies, assigning, directing, and managing outside counsel in coverage litigation or arbitrationundefinedManage coverage counsel and litigation costs as well as collaborate and work with the Litigation Management and Vendor Management teams ensuring cost management and the development and enhancement of the coverage counsel panel Manage discovery issues and responses, including opportunities to ensure consistency as well as identifying relevant and responsive information and ensure proper and adequate preparation of company witnesses for deposition and trial testimony Provide guidance to the North America Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including strategic direction as well as recommend and approve outside coverage counsel assignmentsundefinedReview Coverage positions for matters pending in states required as per the Specialty Complex Claims Referral Guidelines Collaborate across disciplines and business units, including: the general counsel team overseeing errors and omissions issues arising from claims handlingundefinedManage selection of and requests to hire coverage counsel related to any claims pending in North America Identify liability and coverage trends and issues with both individual and portfolio impact and formulate the processes and strategies for handling such claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business. undefined Contact Talent Acquisition Partner Please note this is a hybrid role - 3 days a week in the office - open for the Alpharetta, GA, Red Bank, NJ, Short Hills, NJ, Princeton, NJ and New York City locations .
Sr. Claims Examiner Markel Group IncSr. Claims ExaminerRed Bank, NJ$78,000–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
NewSr. Claims Examiner, Program Claims Markel Group IncSr. Claims Examiner, Program ClaimsRed Bank, NJRemote$78,000–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. This includes evaluation of coverage, assessment of legal liability (where relevant) and exposure analysis, to bring the matters to a timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
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