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 claim services an Arch competitive advantage
• Perform coverage analysis, investigation, liability and damage evaluation, 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, consistent with claims-specific strategy/budget and Arch Claims Litigation Management Guidelines
• Effectively and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures
• Attend mediations, trials, other proceedings, and meetings
• Aid CAMs and others with TPA management and oversight, including TPA claim staff training
• 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

Qualifications

• Juris Doctorate required

Pay and Benefits

The base salary range for this role is $145,700 - $185,000/year. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Arch offers a comprehensive benefits package including medical, dental, vision, and prescription drug coverage; a competitive 401k with generous matching; PTO; paid holidays; backup child and elder care; and more. Arch is committed to helping employees succeed through its benefits package and is dedicated to fostering a diverse and inclusive workplace.