Arch

Claims Account Manager - Private Equity

Entity Arch Insurance Group Inc (U.S.)
Job Locations US-NJ-Jersey City | US-NY-New York | US-CT-Hartford
Job ID
2019-3178
Business Segment
Insurance
# of Openings
1
Category
Claims

The Position

The Claims Account Manager (CAM) position will be based in the Northeast preferably in CT (Hartford), NY (New York City) or NJ (Jersey City). This CAM will oversee claims for all Private Equity and Bundled accounts written by National Accounts Casualty (NAC). The position will have responsibility for working with our third party claims administrators on accounts to handle and oversee Workers Compensation, Automobile Liability, and General Liability claims written on a guaranteed cost basis.  The ideal candidate is a self-motivated individual with 10-15+ years in the industry.  The candidate should have multi-line experience (Workers Compensation, Automobile and General Liability) in a service/account management role as a Supervisor/Front-line Claims Adjuster.  The candidate should also be willing and able to spend 25 % of the time out of the office on travel.

Job Responsibilities

The specific job duties are:

  • Work with our TPA’s to ensure proper claims handling and service delivery.  This includes
    • Performing claims oversight on claims with an expected value over $25,000
    • Attend mediations and trials
    • Granting reserve and settlement authority on cases above the TPA’s authority
    • Making coverage determinations and writing Reservation of Rights and coverage disclaimer letters
    • Completing claims audits at TPA branch claims offices or on-line
    • Handling 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.  This includes:
    • Participating in client set-up meetings
    • Participating in telephonic as well as in person claims reviews
    • Participating in mid-term meetings
    • Helping to resolve any claims or service issues that arise
  • Work with Underwriting and Risk Control to assist in the risk selection process. This includes:
    • Reviewing new/renewal submissions and commenting on any claims, legal or jurisdictional issues
    • Addressing potential solutions to current claims or service problems
    • Participating in meetings with brokers and/or prospective accounts
    • Identifying 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
  • Work with Arch’s other internal departments 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 and complaints, state workers compensation board requirements, etc.)

Required Skills/Experience

  • 10-15+ years’ experience handling multi-line claims (Workers Compensation, Auto & General Liability)
  • At least 5 years’ experience in service/account management role as a Supervisor/Front-line Claims Adjuster
  • Ability to handle high severity claims
  • Strong organizational skills
  • Excellent communication and presentation skills
  • Strong negotiation skills
  • Ability to work and make decisions in a team-based environment

Education

  • College degree preferred

The Company

Arch Insurance is a global insurer offering our clients superior coverage and service. We embody the Arch guiding principle of focusing on retaining experienced and talented employees to differentiate us from the rest of the pack. Our group operates from offices in the US, Canada, Bermuda, UK, and Australia, providing specialty risk solutions to clients worldwide across a wide range of industries. With over ten years of operating history and strong financial ratings, our track record remains solid.

 

Arch Insurance employs a disciplined underwriting approach and prudent risk selection across all types of business. Our mission is to provide our insureds with superb coverage and claims handling through careful and diligent underwriting of risks and business-friendly solutions. Across our global operations, Arch Insurance employees are ready to meet your needs with professionalism and excellence.

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