Home Office Senior Claims Analyst & TPA Coord.

MSIG USA continues to grow! 

Company Overview:

MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.

Summary/Job Purpose:

The Sr. Claims Analyst & TPA Coordinator is responsible for assisting Home Office Claims Management with the oversight of the general liability,  auto liability, and management liability lines of business including the performance of claim technical audits.  Oversees SIR programs, bundled and unbundled TPA business including technical claim oversight.  Responsible for the handling of complex claims (coverage issues, high exposure severity claims). Ensures compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies as adopted by MSMM.   

Essential Functions:

• Audit -- coordinate, schedule, select teams, produce final audit report and participate in the regular periodic audit of MSMM claims offices and units that handle, GL & AL and management liability claims.   Working with the office/unit manager, develop, implement and monitor corrective action plans resulting from these audits

• TPA Management -- provide oversight and direction to TPA management and staff that handles claims on our behalf.  Also, evaluate the exposure to MSMM of claims that are handled by TPA’s and reported to MSMM (SIR or deductible accounts). 

• TPA Audit – coordinate, schedule, select teams and participate in the regular periodic audit of TPA’s, MGA’s and insurers that handle claims on or behalf or handle claims for our insured’s within