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- Claims Account Manager - Alternative Markets
Description
The Claims Division is seeking a Claims Account Manager (CAM) to join the Alternative Market’s Team. In this role, the incumbent will have oversight responsibility for claims managed by our third-party claims administrators. Position will manage liability lines of business claims including, AL, GL, APD in our trucking, hetero, restaurant and construction groups. They will work closely with our Underwriting and Major Case Unit Teams, and will be assigned to specific captive business. These captives involve insured retentions and different expense treatments which require the candidate to work closely with the captive members, captive board, producers, and WC Alt Market’s CAM counterpart.
Responsibilities
Manage third party administrators (TPA) ensuring compliance with Arch's Best Practices
Claim Account Managers will conduct two annual reserve adequacy audits of each program’s Third Party Administrators
Monitor the third-party administrator's compliance with state specific insurance department regulations and unfair claim practices
Conduct ongoing training to assigned TPA adjusters
Evaluate the TPA's service standards ensuring that they are providing our insureds with quality and timely service in accordance with Arch's established guidelines; ability to escalate issues when found
Ensure that the TPAs are in full compliance with Arch's Reserving Philosophy
Monitor, manage and provide direction to the third party administrator on all open claims within each assigned captive along with those losses that meet the Arch reporting criteria
Maintain active monitoring file and diary ensuring files are managed effectively
Manage exception to panel defense attorneys to be certain they are in compliance with Arch’s Litigation Guidelines
Review and evaluate quarterly program scorecards to identify trends and provide input and commentary to the underwriting department and the captive board
Provide timely notices to Arch's reinsurance department and assist with any audits by the reinsurance companies who participate in the Arch business
Manage and direct any suits wherein Arch is named directly arising out of the assigned program
Actively participate in the management and direction of high exposure claims directing counsel and attending mediations on an as needed basis
Monitor and report CAT losses and any potentially large claim increases to Underwriting and Senior Claim management on an as needed basis
Participate and present at captive risk control meetings
Experience & Required Skills
Minimum of 10 years working experience with claims handling
Demonstrated ability to handle high severity claims
Experience managing casualty, trucking, and construction claims
Strong understanding of contract law including risk transfer and insurance procurement requirements
Demonstrated ability to identify, evaluate and properly reserve damages including but not limited to special, general and punitive exposures
Knowledge & expertise with multiple jurisdictions
Intermediate to Advanced skills using 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, customer service and time management skills
Demonstrated experience in actively leading strategic discussions with key stakeholders
Demonstrated ability to work independently and in a team environment
Willing and able to travel 10%
Education
College Degree required
Proper adjuster licenses in all applicable states
