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 develop and execute claim resolution strategies.
• Work closely with underwriters, Legal, Operations, and other Arch functions to ensure timely and effective communication and claim outcomes.
• Deliver industry-leading technical claim handling/management, claim outcomes, business support, and customer service.
• Make claim services an Arch competitive advantage by effectively communicating with insureds and brokers, prioritizing exceptional customer service.
• Conduct coverage analysis, investigations, liability and damage evaluations, timely and accurate indemnity and expense reserving, litigation management, vendor management, settlement negotiations, and claim resolution.
• Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets, analyze and pay legal bills, and maintain all required state adjustor licenses.
• Attend mediations, trials, other proceedings, and meetings, assist CAM's and others with TPA management and oversight, and provide regular meetings with TPA claims staff.
• 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 or insurance defense/coverage practicing attorney with similar law firm experience.
• Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders.
• TPA management/oversight experience is a plus.
• Excellent customer service skills and service-minded.
• Strong analytical and problem-solving skills.
• Strong negotiation skills.
• Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to develop productive working relationships both within and outside Arch.
• Demonstrated ability to process large amounts of complex information, distill it down to key issues and decision points, and concisely communicate the information verbally and in writing.
• Demonstrated ability to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations.
• Demonstrated ability to work well independently and in a highly collaborative team environment.
• 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.