Senior Claims Adjuster - Liability

Posted:
9/25/2024, 9:05:27 AM

Location(s):
Illinois, United States ⋅ Georgia, United States ⋅ Missouri, United States ⋅ New Mexico, United States ⋅ Las Cruces, New Mexico, United States

Experience Level(s):
Senior

Field(s):
Customer Success & Support ⋅ Sales & Account Management

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℠.

Position Overview

Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the MidCorp Team as a Senior Claims Adjuster – Commercial Liability.  In this role, the responsibilities include but are not limited to actively managing and effectively oversee assigned caseload of claims.  Ensure claims handled within authority limits, and in line with Arch’s Claims Standards procedures and guidelines. Utilize third party service providers to achieve economical results and to provide a high quality service to all internal and external customers. Viewed as Technical referral point for other Claims Handlers. Develop and maintain strong relationships with brokers and clients.

Primary Responsibilities

Claims Processing and Administration

  • Input and maintain accurate claims records for designated accounts, within appropriate Claims administration systems

Investigation and Reserving of Claims

  • Investigate General Liability and Automobile claims, including coverage determination and evaluation of loss exposures Determine appropriate reserving levels

  • Select and direct independent external service providers (e.g. independent adjusters, Legal vendors etc)

  • Proactively discuss and review contentious, large and complex claims with fellow adjusters and management to obtain opinions/feedback

Settlement

  • Settle standard claims through payment or denial. Negotiate to ensure efficient and competitive settlement

  • Ensure unpursued claims are settled in accordance with settlement guidelines Support subrogation processes

Referrals and Compliance

  • Ensure all claims are handled within authority limits, and in line with AIGI, Claims Standards procedures and guidelines Refer cases outside of authority level, preparing referral documentation and materials as appropriate.

  • Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters Undertake audits of external service providers as appropriate

Attend Industry Functions

  • Act as a technical reference point and provide training/coaching to less experienced team members

Relationship Management

  • Positively represent AIGI externally to the market

  • Proactively drive involvement of functional areas in Claims handling process, e.g. Underwriting, MMC, ARC, Operations

  • Develop and maintain strong relationships with key brokers and clients and other relevant stakeholders (e.g. third party adjusters) Effectively report and present loss and claims information internally and externally

Qualifications

  • Bachelor’s degree; Insurance designation preferred

  • Minimum of Five (5) years of working experience supporting commercial accounts

  • Investigate, evaluate and resolve complex General Liability and Auto Liability claims to make informed decisions and bring claims to resolution.

  • Manage an inventory of complex litigated claims and develop litigation strategies in collaboration with defense counsel. 

  • Proper & active adjuster licensing in all applicable states

  • Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines

  • Products and Coverages: understanding in relevant products, wordings, terms and conditions and coverages

  • Analytical Skills: Ability to effectively absorb information from various sources, then analyze, study or examine data in detail, and draw appropriate conclusions

  • Strong time management and organizational skills

  • Ability to take part in active strategic discussions

  • Ability to work well independently and in a team environment

  • Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word

  • Willing and able to travel  

#LI-SW1

#LI-REMOTE

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.

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