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Claims Account Manager, NAC
Claims Account Manager, NACArch Capital Group • Jersey City, NJ United States of America
Claims Account Manager, NAC

Claims Account Manager, NAC

Arch Capital Group • Jersey City, NJ United States of America
30+ days ago
Job type
  • Full-time
Job description

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

Position Summary

The Claims Division is seeking a team member to join the National Accounts Casualty (NAC) Team as a Claims Account Manager (CAM). In this role, the responsibilities include but not limited to actively manage and effectively oversee assigned NAC business accounts for Auto and General Liability claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.

Responsibilities:

  • Work with our TPA’s to ensure proper claims handling and service delivery, which includes:Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self insured businessAttend mediations and trialsGranting reserve and settlement authority on cases above the TPA’s authorityMaking coverage determinations and writing Reservation of Rights and coverage disclaimer lettersCompleting claims audits at TPA branch claims offices or onlineHandling or facilitating administrative tasks between Arch and the TPA to ensure seamless service delivery to the client
  • Act as the Service Manager/Arch claims contact for all accounts written by NAC, which includes:Participating in client set-up meetingsParticipating in telephonic as well as in person claims reviewsParticipating in mid-term meetingsHelping to resolve any claims or service issues that arise
  • Work with Underwriting and Risk Control to assist in the risk selection process, which includes:Reviewing new/renewal submissions and commenting on any claims, legal or jurisdictional issuesAddressing potential solutions to current claims or service problemsParticipating in meetings with brokers and/or prospective accountsIdentifying loss trends on an account or book of business level
  • Conducting due diligence reviews on new TPA’s or accounts that want to self-administer claims
  • Collaborate with other internal business units such as Finance, IT and Legal on any issues or projects that arise
  • Address state and federal regulatory issues (Medicare issues, state insurance department audits/complaints, state workers compensation board requirements, etc.)

Experience & Required Skills

  • Minimum of ten (10) years’ working experience overseeing and managing multi-line claims with and auto/general liability; preferred 15+ years
  • Demonstrated ability to handle high severity claims
  • Knowledge & expertise with multiple jurisdictions
  • Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
  • Exceptional communication (written and verbal), influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
  • Strong problem-solving, analytical, organizational, and time management skills
  • Demonstrated ability to take part in active strategic discussions
  • Demonstrated ability to work independently and in a team environment
  • Willing and able to travel 25%

Education

  • Bachelor's degree preferred
  • Proper Adjuster Licenses in all applicable states

#LI-SW1

#LI-HYBRID

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

For NY, Long Island, California, Jersey City: $123,400 - $166,633/year

For Chicago, Hartford, Boston: $111,100 - $149,970/year

For Alpharetta, Texas, Kansas, O'Fallon: $95,700 - $129,141/year

  • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

14400 Arch Insurance Group Inc.
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Claims Account Manager, NAC • Jersey City, NJ United States of America

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