Sr. Complex Claims Specialist

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

About the role

Responsibilities include actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. This role does not require managing direct reports but is responsible for managing the claims & TPA process.

Responsibilities

• Deliver industry-leading technical claim handling/oversight, claim outcomes, business support, and customer service to make claim services an Arch competitive advantage.
• Collaborate with TPA team members, Arch Claim Account Managers (“CAM’s”), and other claim professionals to proactively develop and execute appropriate claim resolution strategies.
• Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions to ensure timely and effective communication consistent with Arch Claims’ Procedures, striving for optimum claim outcomes.
• Provide exceptional customer service through effective and timely communication with insureds and brokers.
• Perform coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within granted authority), litigation management, vendor management, settlement negotiations (including structured settlements where appropriate), and claim resolution.
• Ensure effective claim file documentation, claim coding, and diary management.
• Retain and work closely with defense and coverage counsel to create and execute litigation/coverage strategies and budgets; analyze and pay legal bills consistent with claims-specific strategy/budget and Arch Claims Litigation Management Guidelines.
• Provide effective 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.
• Maintain all required state adjuster licenses.
• Assist CAM’s and others with TPA management and oversight, including:
  • TPA claim staff training on Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service, and other topics.
  • Sharing claim handling and customer service best practices.
  • Assistance with claim file reviews and audits.
  • Regular meetings with TPA claims staff.

Requirements

• Trucking, construction, or emergency service/medical professional liability claim handling experience is a plus.
• TPA management/oversight experience is a plus.
• Excellent customer service skills and a service-minded approach.
• 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.
• Able to process large amounts of complex information, distill it into key issues and decision points, and communicate concisely both verbally and in writing.
• Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations.
• Able to work well independently and in a highly collaborative team environment.
• Adaptable and able to succeed in a rapidly changing workplace.
• Strong Microsoft Excel, PowerPoint, and Word skills.
• Willing and able to travel approximately up to 10% of the time.

Qualifications

• Juris Doctorate preferred.
• Minimum of 10 years of 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.

Pay

For individuals assigned or hired to work in the specified location(s), the base salary range is $145,000 - $175,000 per year. The position is incentive-eligible. Total individual compensation (base salary, short- and long-term incentives) will consider factors including geographic location, scope and responsibilities of the role, qualifications, talent availability, specialization, and business needs.

Benefits

• Multiple medical plans plus dental, vision, and prescription drug coverage.
• Competitive 401k with generous matching.
• Paid time off beginning at 20 days per year.
• Up to 12 paid company holidays per year plus 2 paid days of Volunteer Time.
• 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.