Claims TPA Governance Analyst
AIG, Atlanta, GA, United States
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. It’s 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 AIG’s 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.
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
Bachelor’s 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.
Functional Area
CL - Claims
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.
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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 AIG’s 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.
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
Bachelor’s 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.
Functional Area
CL - Claims
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.
#J-18808-Ljbffr