Complex Claims and Coverage Specialist

Position Summary

Arch Insurance Group, AIGI, seeks an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This role focuses on claims from various units including Programs, National Accounts, Alternative Markets, and Construction Business Units. Key responsibilities include managing large exposure and complex general/auto liability claims, collaborating with legal and operational teams, and ensuring timely and effective communication.

Responsibilities

• Deliver industry-leading technical claim handling/management, claim outcomes, business support, and customer service.
• Collaborate with TPA team members, Arch Claim Account Managers, and other claim professionals to proactively develop and execute on appropriate claim resolution strategies.
• Work closely with underwriters, Legal, Operations, and other Arch functions to ensure timely and effective communication consistent with Arch Claims' Procedures.
• Make exceptional customer service a top priority through effective and timely communication with insureds and brokers.
• Perform coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving, litigation management, vendor management, settlement negotiations, and claim resolution.
• Manage and document claim files, claim coding, and diaries.
• Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets.
• Analyze and pay legal bills, consistent with claims-specific strategy/budget and Arch Claims Litigation Management Guidelines.
• Attend mediations, trials, other proceedings, and meetings.
• Aid CAMs and others with TPA management and oversight, including training and claim file reviews.
• Ensure compliance with Arch Claims Procedures and maintain all required state adjustor licenses.

Required Skills

• Minimum of 10 years’ commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims.
• Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders.
• Experience with TPA management/oversight.
• Excellent customer service skills and service-mindedness.
• Strong analytical and problem-solving skills.
• Strong negotiation skills.
• Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills.
• Demonstrated ability to process large amounts of complex information, distill it down to key issues, and communicate concisely.
• Demonstrated ability to effectively lead strategic discussions and make sound, cost-effective decisions and recommendations.
• Adaptable and able to succeed in a rapidly changing environment.
• Strong Microsoft Excel, PowerPoint, and Word skills.
• Willing and able to travel up to approximately 10-15% of time.

Education

• Juris Doctorate required.

Benefits

• Comprehensive benefits package including medical, dental, vision, and prescription drug coverage; a competitive 401k with generous matching; PTO; company holidays; volunteer time off; life and AD&D insurance; short and long-term disability; parental leave; student loan assistance and tuition reimbursement; backup child and elder care; and more.