Claim Account Manager

🕒 May 12

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Arch Capital Group Ltd.

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2001

💸 Finance

🏢 Enterprise

Insurance • Finance • Enterprise

Arch Capital Group Ltd. is a global leader in providing specialty insurance, reinsurance, and mortgage insurance solutions. Arch offers risk management and risk financing services across a range of industries and operates through distinct businesses in North America, Europe, and Australia. The company is known for its innovative approach to risk, utilizing cutting-edge analysis to target and price risks effectively. Arch Capital Group's portfolio and operations reflect their commitment to sustainability and governance while continually seeking new market opportunities. Additionally, Arch Capital is recognized for its financial strength and increasing shareholder value through strategic growth and investments.

📋 Description

• Ensure compliance with all local, federal and state regulations related to claims while minimizing risk/exposure to the Arch organization • Provide technical expertise and oversight to TPA adjusters handling workers compensation, auto liability & general Liability claims which also include handling and supervision of outsourced claims • Work with our TPA’s to ensure proper claims handling and service delivery • Perform claims oversight on claims with an expected value of over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self-insured business • Attend mediations and trials • Granting reserve and settlement authority on cases above the TPA’s authority • Making coverage determinations and writing Reservation of Rights and coverage disclaimer letters • Completing claims audits at TPA branch claims offices or online • Handling or facilitating administrative tasks between Arch and the TPA to ensure seamless service delivery to the client • Act as the Service Manager/Arch claims contact for all accounts written by NAC • Participate in client set-up meetings • Participate in telephonic as well as in person claims reviews • Participate in mid-term meetings • Help to resolve any claims or service issues that arise • Work with Underwriting and Risk Control to assist in the risk selection process • Review new/renewal submissions and commenting on any claims, legal or jurisdictional issues • Address potential solutions to current claims or service problems • Participate in meetings with brokers and/or prospective accounts • Identify loss trends on an account or book of business level • Conduct due diligence reviews on new TPA’s or accounts that want to self-administer claims • Collaborate with other internal business units such as Finance, IT and Legal on any issues or projects that arise • Address state and federal regulatory issues (Medicare issues, state insurance department audits/complaints, state workers compensation board requirements, etc.)

🎯 Requirements

• Bachelor's degree preferred • Exceptional 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 lines • Strong problem-solving, analytical, organizational, multitasking, and time management skills • Ability to take part in active strategic discussions • Ability to analyze and utilize data to make direct impact on claims outcomes • Minimum of ten (12) years’ working experience overseeing and managing multi-line claims including auto liability, general liability, workers’ compensation, products and professional liability for high deductible and self-insured accounts • Experience monitoring committee process • Proper Adjuster Licenses in all applicable states • Ability to handle high severity claims • Knowledge & expertise with multiple jurisdictions • Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word • Ability to work independently and in a team environment • Willing and able to travel 25%

🏖️ Benefits

• multiple medical plans plus dental, vision and prescription drug coverage • 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 Off • 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 • more