Claims Specialist, Health Care Claims

Claims Specialist, Health Care Claims

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.

Role Overview

AXIS is hiring a Claims Specialist, Health Care Claims, for its North America Claim Team. This role involves managing primary and excess healthcare liability claims for AXIS U.S. policies. How does this role contribute to our collective success? You will handle highly complex healthcare liability claims by verifying coverage, conducting investigations, developing resolutions, and authorizing disbursements within authority limits. Ensure consistent communication with stakeholders, brokers, and insureds to uphold service excellence. Process, analyze, investigate, evaluate, and resolve claims for accurate settlements. Collaborate with internal teams and external stakeholders to deliver exceptional service and support claims department success.

What Will You Do In This Role?

• Assessing claims within a specialized area to determine coverage, liability, and settlement value.
• Collaborating with legal and investigative teams to resolve complex or contentious claims.
• Leading initiatives to enhance claims processing efficiency and accuracy within the team.
• Providing expert opinions on claims handling best practices during cross-functional meetings.
• Managing costs in collaboration with the Litigation Management and Vendor Management teams.
• Participating in professional associations to stay abreast of changes in claims management.
• Communicating with key stakeholders both internal and external to the company.
• Serving as a mentor, fostering skill development and career progression.

About You

We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.

What We're Looking For

Be recognized as a subject matter expert in claims within their area of specialization. Exhibit the ability to network effectively and leverage professional associations for knowledge enhancement. Demonstrate the capability to lead process enhancement initiatives within a claims environment. Possess the skills to provide expert opinions and insights during cross-functional discussions. Be adept at creating and directing the development of training materials relevant to claims processing. Show a commitment to continuous professional development in the field of claims management. Have the ability to critically review and update claims procedures to maintain regulatory compliance. Be capable of mentoring peers and fostering their professional growth within the claims discipline.

Role Factors

This role requires you to be in the office 3 days per week and adhere to AXIS licensing requirements.

What We Offer

Your salary offer will be based on an assessment of a variety of factors including your specific experience and work location. In addition, you will be offered competitive target incentive compensation, with awards based on overall corporate and individual performance. On top of this, you will be eligible for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more. Where this role is based in the United States of America, this role is exempt for FLSA purposes.

About Axis

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.

AXIS Persona

AXIS Capital seeks professionals who thrive in a dynamic, high-performing environment grounded in humility and mutual respect. We employ those who exemplify our core values of People, Excellence, Decisiveness, and Stronger Together. We are a team characterized by integrity and self-discipline, striving for continuous improvement and driven to achieve ambitious results. Our focus is on hiring, developing, retaining, and rewarding individuals who excel in : Purposeful Action : Delivering top-tier work with a data-driven approach and operating at AXIS speed. Collaborative Decision-Making : Valuing input from all relevant groups and being open to debate. Able to leave their ego at the door and be committed to achieving results through teamwork, fully supporting decisions once made. Measuring Outcomes : Consistently evaluating performance against established expectations. The AXIS employee will cultivate a collaborative workplace atmosphere, fostering trust within the team. We believe in respectful challenges, presuming best intent, and building meaningful relationships with colleagues, customers, and the communities we serve. Joining our team means becoming part of a workplace where every individual's contributions are valued, and excellence is pursued with purpose and passion. Together, we elevate our standards, achieve ambitious results, and make a lasting impact on each other and those we serve. Base salary compensation anticipated to be between 75-120K.