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 Programs, National Accounts, Alternative Markets, and Construction Business Units, dealing with sophisticated litigation and complex coverage issues.

Responsibilities

• Manage large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators ("TPA's") and support Arch business stakeholders.
• Collaborate with TPA team members, Arch Claim Account Managers ("CAM's"), 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, striving for optimum claim outcomes.
• Communicate with insureds and brokers, prioritizing exceptional customer service.
• Analyze and reserve claims, manage litigation, negotiate settlements, and manage vendors.
• Report on claims (verbally and in writing) to other claim professionals/management and business stakeholders, following Arch Claims Procedures.
• Attend mediations, trials, and other proceedings and meetings.
• Assist CAM's and others with TPA management and oversight, including training and claim file reviews.

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 effectively.
• Demonstrated ability to 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.