Claims Adjuster- TPA Oversight

Welcome to American International Group, where we prioritize providing exceptional insurance services to our clients. As a Claims Adjuster- TPA Oversight, you will play a crucial role in our organization by overseeing third party administrators and ensuring the timely and accurate handling of claims. We are seeking a highly organized and detail-oriented individual with a strong background in claims handling and experience in TPA oversight. If you are a driven and dedicated professional with a passion for delivering top-notch customer service, we encourage you to apply for this exciting opportunity.

1. Oversee Third Party Administrators (TPAs): Monitor and manage TPAs to ensure compliance with company policies and procedures, as well as state and federal regulations.
2. Ensure timely and accurate claims handling: Review and analyze claims files to ensure timely and accurate handling of claims by TPAs, including proper investigation, evaluation, and settlement.
3. Develop and maintain relationships with TPAs: Foster strong relationships with TPAs to facilitate effective communication and collaboration in the claims handling process.
4. Provide guidance and support: Serve as a point of contact for TPAs to provide guidance and support in claims handling and escalate any issues or concerns to management as needed.
5. Conduct audits and quality control checks: Conduct regular audits and quality control checks of TPA performance to identify any areas for improvement and ensure compliance with company standards.
6. Monitor claim trends: Analyze claim data and trends to identify potential issues and make recommendations for process improvements to enhance customer service and reduce costs.
7. Train and mentor TPA staff: Develop and deliver training programs to TPA staff to ensure consistent and efficient claims handling practices.
8. Maintain accurate records: Maintain accurate and organized records of TPA performance, including claims data and audit findings.
9. Collaborate with internal teams: Work closely with internal teams, such as underwriting and legal, to ensure seamless coordination and resolution of claims.
10. Stay updated on industry trends: Stay informed about industry trends and changes in regulations related to claims handling and TPA oversight to ensure compliance and best practices.

According to JobzMall, the average salary range for a Claims Adjuster- TPA Oversight is between $45,000 to $70,000 per year. However, this can vary depending on the location, experience, and company. Some companies may offer higher salaries for this position, while others may offer lower salaries. It is important to research the specific job and company to determine the exact salary range.

American International Group, Inc., also known as AIG, is an American multinational finance and insurance corporation with operations in more than 80 countries and jurisdictions.