Sr. Claims Account Manager, Construction

Arch Insurance Group Inc. • Jersey City, NJ

1d • Hybrid

About The Position

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 Claims Account Manager (CAM/AVP) to join the Central Construction Team. In this role, the incumbent will actively manage and effectively oversee Third-party Administrator(TPA) Team members handling Construction Worker's Compensation and construction liability claims (GL, AL, APD) for high-exposure commercial business accounts.

Requirements

• Minimum of ten (10) years’ working experience overseeing TPA’s and managing WC, AL, GL, APD claims (bodily/personal injury and property damage) for high deductible and self-insured accounts; preferred 15+ years
• TPA Oversight or leadership experience required
• 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
• Ability to take part in active strategic discussions
• Ability to work independently and in a team environment
• Willing and able to travel 25%
• Proper Adjuster Licenses in all applicable states

Responsibilities

• 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 $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self-insured business
• 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 online
• 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 Arch Underwriting, which 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, which 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
• 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.)

Benefits

• multiple medical plans plus dental, vision and prescription drug coverage
• a competitive 401k with generous matching
• PTO beginning at 20 days per year
• up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer
• basic Life and AD&D Insurance as well as Short and Long-Term Disability
• Paid Parental Leave of up to 10 weeks
• Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level