Claims TPA Governance Analyst
Atlanta, GA - USA
Job Summary
At AIG we are reimagining the way we help customers to manage risk. Join us as a Claims TPA Governance Analyst to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team.
Make your mark in Claims TPA
Reporting directly to the Claims TPA Regulatory Manager the role will support the oversight of all North American state and province regulatory matters relating to third-party administrators handling claims on behalf of AIG. This role helps to ensure that AIGs TPA partners operate in alignment with state and province requirements company standards and contractual obligations.
Position Description
Full Time US-based employment Claims TPA Governance. The Claims TPA Governance Analyst shall be responsible for the following activities:
Monitor changes in state federal and market conduct regulatory requirements impacting claims handling and TPA activities.
Ensure TPA partners maintain compliance with claims regulations including timeliness standards documentation rules licensing requirements privacy laws and unfair claims practices statutes.
Identify compliance risks and support corrective action plans with internal stakeholders and TPA leadership.
Prepare and support responses to Department of Insurance (DOI) inquiries data calls market conduct exams and regulatory filings related to TPA-handled claims.
Serve as a liaison between Claims Compliance Legal and external TPA partners.
Support the response to and compliance with state regulatory audits and fines.
Minimum Experience / Qualifications
Bachelors degree in business or related field and/or equivalent combination of experience; insurance or financial services industry preferred.
Minimum 5 years prior experience working with TPAs in the NAM regulatory space.
Knowledge of regulatory best practices and state province and carrier requirements.
Understanding of quality controls and risk management disciplines is a strong asset.
Excellent communication skills (verbal written presentation) are needed to ensure sourcing strategies and tactical decisions are based on fact and data.
Ability to influence and resolve complex regulatory issues.
Strong organizational customer service and leadership/influencing skills.
Ability to prioritize multiple tasks and meet strict deadlines.
Skillsets and Languages
Proficiency in MS Excel (advanced formulas pivot tables MS Word PowerPoint and MS Outlook.
English
At AIG we value in-person collaboration as a vital part of our culture which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive connected environment for our team and clients alike.
Enjoy benefits that take care of what matters
At AIG our people are our greatest asset. We know how important it is to protect and invest in whats most important to you. That is why we created our Total Rewards Program a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health wellbeing and financial securityas well as your professional developmentto bring peace of mind to you and your family.
Reimagining insurance to make a bigger difference to the world
American International Group Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the worlds most far-reaching property casualty networks. It is an exciting time to join us across our operations we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG you can go further to support individuals businesses and communities helping them to manage risk respond to times of uncertainty and discover new potential. We invest in our largest asset our people through continuous learning and development in a culture that celebrates everyone for who they are and what they want to become.
Welcome to a culture of inclusion
Were committed to creating a culture that truly respects and celebrates each others talents backgrounds cultures opinions and goals. We foster a culture of inclusion and belonging through learning cultural awareness activities and Employee Resource Groups (ERGs). With global chapters ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIGs greatest assets and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
AIG provides equal opportunity to all qualified individuals regardless of race color religion age gender gender expression national origin veteran status disability or any other legally protected categories.
AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation please send an email to .
Functional Area:
Required Experience:
IC