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

• Deliver industry-leading technical claim handling/management, claim outcomes, business support, and customer service.
• Collaborate with TPA team members, Arch Claim Account Managers ("CAM's"), and other claim professionals to proactively develop and effectively 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 by analyzing and paying legal bills, maintaining all required state adjustor licenses, and sharing claim handling/customer service best practices.
• Manage TPA staff, attend mediations, trials, and meetings, and assist CAM's with TPA management and oversight.
• Participate in regular meetings with TPA claims staff and conduct claim file reviews and audits.

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 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.
• Able to travel up to approximately 10-15% of time.

Education

• Juris Doctorate required.

Benefits

The 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 is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits.