Claim Account Manager, NAC (Worker's Compensation)

Claims Account Manager (Cam)

The Claims Division is seeking a team member to join the National Accounts Casualty (NAC) Team as a Claims Account Manager (CAM). In this role, the responsibilities include but not limited to actively manage and effectively oversee assigned NAC business accounts for Worker's Compensation claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.

Responsibilities include:

• Work with our TPA's to ensure proper claims handling and service delivery, which 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
• Attending 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
• 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.)

Experience & Required Skills:

• Minimum of ten (10) years' working experience overseeing and managing multi-line claims with worker's compensation preferred 15+ years
• Demonstrated 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, and time management skills
• Demonstrated ability to take part in active strategic discussions
• Demonstrated ability to work independently and in a team environment
• Willing and able to travel 25%.

Education:

• Bachelor's degree preferred.
• Proper Adjuster Licenses in all applicable states

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 pay range may be modified in the future.

Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a 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 Offer; 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; and more.