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Claims Account Manager - Construction (NE Region)

Company: Arch
Location: Jersey City
Posted on: September 21, 2022

Job Description:

The Claims Division is seeking a Claims Account Manager (CAM) to join the Northeast Construction Team. - In this role, the incumbent will actively manage and effectively oversee assigned Construction accounts and be responsible for overseeing construction liability claims (GL, AL, APD) being handled by Third-party Administrator (TPA) Team members which support high-exposure commercial business accounts.Specifics duties include but not limited to the below:Work with our TPA's to ensure proper claims handling and service delivery, this includesPerforming claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self-insured businessAttend mediations and trialsGranting reserve and settlement authority on cases above the TPA's authorityMaking coverage determinations and writing Reservation of Rights and coverage disclaimer lettersCompleting claims audits at TPA branch claims offices or onlineHandling or facilitating administrative tasks between Arch and the TPA to ensure seamless service delivery to the clientAct as the Service Manager/Arch claims contact for all accounts written by X, which includes:Participating in client set-up meetings Participating in telephonic as well as in person claims reviewsParticipating in mid-term meetingsHelping to resolve any claims or service issues that ariseWork with Underwriting and Risk Control to assist in the risk selection process, which includes:Reviewing new/renewal submissions and commenting on any claims, legal or jurisdictional issuesAddressing potential solutions to current claims or service problemsParticipating in meetings with brokers and/or prospective accountsIdentifying loss trends on an account or book of business levelConducting due diligence reviews on new TPA's or accounts that want to self-administer claimsCollaborate with other internal business units such as Finance, IT and Legal on any issues or projects that ariseAddress state and federal regulatory issues (Medicare issues, state insurance department audits/complaints, state workers compensation board requirements, etc.)

Minimum of ten (10) years' working experience overseeing and managing AL, GL, APD claims (bodily/personal injury and property damage) for high deductible and self-insured accounts; preferred 15+ yearsProper Adjuster Licenses in all applicable statesAbility to handle high severity claimsKnowledge & expertise with multiple jurisdictions Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and WordExceptional communication (written and verbal), influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational linesStrong problem-solving, analytical, organizational, and time management skillsAbility to take part in active strategic discussionsAbility to work independently and in a team environmentWilling and able to travel 25%
Bachelor's -degree preferredArch Insurance is a global insurer offering our clients superior coverage and service. We embody the Arch guiding principle of focusing on retaining experienced and talented employees to differentiate us from the rest of the pack. Our group operates from offices in the US, Canada, Bermuda, UK, and Australia, providing specialty risk solutions to clients worldwide across a wide range of industries. - With nearly 20 years of operating history and strong financial ratings, our track record remains solid. -Arch Insurance employs a disciplined underwriting approach and prudent risk selection across all types of business. Our mission is to provide our insureds with superb coverage and claims handling through careful and diligent underwriting of risks and business-friendly solutions. Across our global operations, Arch Insurance employees are ready to meet your needs with professionalism and excellence.

Keywords: Arch, Jersey City , Claims Account Manager - Construction (NE Region), Professions , Jersey City, New Jersey

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