Claim Account Manager, NAC

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 Responsibilities

• Ensure compliance with all local, federal and state regulations related to claims while minimizing risk/exposure to the Arch organization.
• Provide technical expertise and oversight to TPA adjusters handling workers compensation, auto liability & general Liability claims which also include handling and supervision of outsourced claims.
• Work with our TPA’s to ensure proper claims handling and service delivery, this includesPerforming claims oversight on claims with an expected value of over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self-insured businessAttend mediations and trials.Granting 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 reviews.Participating 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 levelConducting 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.)

Candidate Skillset Requirements

Provided below are the guidelines the recruiter will use to source and qualify resume submissions:

• Bachelor's degree preferred.
• 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, multitasking, and time management skills
• Ability to take part in active strategic discussions.
• Ability to analyze and utilize data to make direct impact on claims outcomes.
• Minimum of ten (12) years’ working experience overseeing and managing multi-line claims including auto liability, general liability, workers’ compensation, products and professional liability for high deductible and self-insured accounts.
• Experience monitoring committee process.
• Proper Adjuster Licenses in all applicable states
• Ability to handle high severity claims.
• Knowledge & expertise with multiple jurisdictions
• Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
• Ability to work independently and in a team environment.
• Willing and able to travel 25%.

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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/NJ/CA: $123,400 - $166,600/year

For Philly/Hartford/Chicago: $111,100 - $150,000/year

For Atlanta/Dallas/Kansas City: $95,700 - 130,000/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.