Sr. Complex Claims Specialist at Arch Insurance Group Inc. | New Jersey, United States | Rezi

Sr. Complex Claims Specialist at Arch Insurance Group Inc.

Sr. Complex Claims Specialist

Arch Insurance Group Inc. · New Jersey, United States

2 days ago

Sr. Complex Claims Specialist

Arch Insurance Group Inc. · New Jersey, United States

2 days ago
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About the Role

This role actively manages and oversees large exposure and complex general/auto liability and trucking claims, supporting business stakeholders. While there are no direct reports, the position is responsible for managing the claims and Third-party Administrator (TPA) process.

Responsibilities

  • Deliver industry-leading technical claim handling/oversight, claim outcomes, business support, and customer service.
  • Collaborate with TPA team members, Arch Claim Account Managers (CAM’s), and other claim professionals to develop and execute claim resolution strategies.
  • Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions to ensure timely and effective communication.
  • Provide effective and timely communication with insureds and brokers, prioritizing exceptional customer service.
  • Manage coverage analysis, investigation, liability and damage evaluation, indemnity and expense reserving, litigation management, vendor management, and settlement negotiations.
  • Ensure effective claim file documentation, claim coding, and diary management.
  • Retain and work closely with defense and coverage counsel to create and execute litigation/coverage strategies and budgets.
  • Analyze and pay legal bills consistent with claim strategy/budget and Arch Claims Litigation Management Guidelines.
  • Provide effective and timely claim reporting (verbal and written) to claim professionals/management and business stakeholders.
  • Attend mediations, trials, other proceedings, and meetings.
  • Maintain all required state adjustor licenses.
  • Assist CAM’s and others with TPA management and oversight, including staff training, sharing best practices, claim file reviews, claim audits, and regular meetings with TPA claims staff.

Requirements

  • Trucking, construction, emergency service/medical professional liability claim handling experience is a plus.
  • TPA management/oversight experience is a plus.
  • Excellent customer service skills and service-minded.
  • Strong analytical and problem-solving skills.
  • Strong negotiation skills.
  • Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills.
  • Ability to process large amounts of complex information, distill it down to key issues and decision points, and concisely communicate the information.
  • Ability to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations.
  • Ability to work well independently and in a highly collaborative team environment.
  • Adaptable and able to succeed in a rapidly changing workplace.
  • Strong Microsoft Excel, PowerPoint, and Word skills.
  • Willing and able to travel approximately up to 10% of time.

Skills

  • Claim handling
  • TPA management
  • Customer service
  • Analytical skills
  • Problem-solving
  • Negotiation
  • Communication (written and verbal)
  • Collaboration
  • Influencing
  • Listening
  • Interpersonal skills
  • Strategic discussion leadership
  • Technical knowledge
  • Independent work
  • Teamwork
  • Adaptability
  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Word

Location

  • Remote

Work Type

  • Hybrid
  • Full-time

Experience Level

  • Minimum of 10 years commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims, or insurance defense/coverage practicing attorney with similar law firm experience.

Education Level

  • Juris Doctorate required

Salary/Compensations

  • $95,700 - $148,512/year

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
  • 2 paid days of Volunteer Time Offer
  • Basic Life and AD&D Insurance
  • Short and Long-Term Disability
  • Paid Parental Leave of up to 10 weeks
  • Student Loan Assistance
  • Tuition Reimbursement
  • Backup Child and Elder Care

About the Company

  • 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℠.

Equal Opportunity

  • 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. Click here to learn more on available benefits.