Arch

  • Technical Claims Supervisor - GL Healthcare

    Job Locations US-NJ-Jersey City
    Job ID
    2017-1352
    # of Openings
    1
    Category
    Claims
  • Overview

    Why Arch, you ask? That’s as obvious as asking why you need generous paid time off and a bonus! To complement these perks, we offer well rounded medical, dental and vision plans. Arch Insurance Group, an employee driven market-leading insurer provides property, casualty and specialty insurance services across the US. Our selfless environment strives to attract the most talented people in their fields so as to reward them with all of the good things in life: competitive salary, tuition assistance, comprehensive training programs, paid internships, rewards for passing Insurance and Actuarial designation exams, life insurance, 401(k) match plans...and much, much more!

     

     

    Responsibilities

    • Manage and direct the handling of TPA claims handler for general liability arising from care facility claims, ambulance and emergency transport claims with medical malpractice implications.
    • Assist TPA claims staff to identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis.      
    • Direct TPA claims staff in development and implementation of strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care.
    • Direct TPA claims staff in the development and implementation of a strategy to resolve matters of liability and damages of a particular case.
    • Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker.
    • Direct TPA claims staff in the review of the investigation of the claim, review the TPA’s file, the insured's materials, pleadings, and other relevant documents.
    • Direct TPA claims staff in the identification and review of each jurisdiction's applicable statutes, rules and case law.
    • Direct and assist TPA claims staff in the review of litigation materials including depositions and expert's reports.
    • Make decisions regarding retention of defense and coveragecounsel and issues regarding tender to other parties.  
    • Direct counsel in accordance with resolution strategy.
    • Analyze coverage, liability and damages for purposes of assessing and recommending reserves. Prepare and present written and oral reports to senior management setting forth all issues influencing evaluation and recommending reserves.
    • Attend mediations, trials, and other proceedings relevant to the resolution of the matter.
    • Travel to and from such locations within the United States.      
    • Negotiate resolution of claims.
    • Select and utilize structure brokers.  
    • Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers and senior management regarding claims.

    Qualifications

     

    Education & Experience

    • At least 10 years of related experience
    • Healthcare and General Liability Claims experience necessary
    • J.D. degree a plus

     

    Key Competencies & Technical Skills

    • Strong evaluation and negotiation skills
    • Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word
    • Excellent written/verbal communication and organizational skills
    • Ability to work well in a team environment

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed