Sr. Claims Adjuster - Liability

Posted:
8/18/2024, 5:00:00 PM

Location(s):
O’Fallon, Missouri, United States ⋅ Chicago, Illinois, United States ⋅ Missouri, United States ⋅ Alpharetta, Georgia, United States ⋅ Illinois, United States ⋅ Kansas City, Missouri, United States ⋅ Georgia, 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

Specific duties include but not limited to the below:

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,  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 in lieu of 7 years of insurance experience; Insurance designation a plus.
  • 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

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