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Job Summary

The Claims Division is seeking an AVP to join the National Accounts Casualty (NAC) Team .  In this role, the incumbent will actively manage and effectively oversee assigned NAC business accounts for workers’ compensation, auto, and general liability claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.  

Responsibilities

• Lead and manage Claim Account Managers and other claim professionals in achieving high standards of productivity, efficiency and alignment of organizational goals
• 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 staff with handling workers compensation, auto liability & general Liability claims which also includes handling and supervision of outsourced claims

• Work with our TPA’s to ensure proper claims handling and service delivery, this includes
  • Performing 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 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, which includes:
  • Participating in client set-up meetings
  • Participating in telephonic as well as in person claims reviews
  • Participating in mid-term meetings
  • Helping to resolve any claims or service issues that arise
  • Understand and use of data analytics and stewardship
• Work 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 issues
  • Addressing potential solutions to current claims or service problems
  • Participating in meetings with brokers and/or prospective accounts
  • Identifying loss trends on an account or book of business level
  • Conducting 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.)

Education and Experience

• Bachelor's degree preferred
• Preferred locations: New England, New York, Pennsylvania, New Jersey, Maryland, Washington DC Metro
• Minimum of ten (10) years’ working experience overseeing and managing multi-line claims with workers’ compensation, auto, and general liability for high deductible and self-insured accounts
• Prior management experience preferred
• 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
• 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 work independently and in a team environment
• Willing and able to travel 25%

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For individuals assigned or hired to work in California, Colorado, Hawaii, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible.

$111,300 - $150,210/year

• Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.  The above range may be modified in the future

• Click here to learn more on available benefits

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.