Claims Account Manager - Workers' Compensation (Captive Programs)

Hartford, Connecticut
Not Specified
Aug 29, 2022
Oct 28, 2022
Job Type
Not Specified
Career Level
Not Specified

The Claims Division is seeking a Claims Account Manager - Workers' Compensation to join the Alternative Markets Team. In this role, the incumbent will actively manage and effectively oversee assigned captive programs handled by third party administrators. The role also involves communicating effectively with the respective team members of Underwriting, Captive Producers, Brokers, Claim Consultants, and Attorneys as well as analyzing contracts, financials, and overall performance of the assigned captive program.

Job Responsibilities

Specifics duties include but not limited to the below:

  • Evaluate the claims administrator's service standards to ensure that they provide our insureds with quality and timely service in accordance with Arch's established guidelines
  • Monitor, manage, and provide direction to the claims administrator on losses that have the potential to meet or have met the Arch reporting criteria and/or any losses deemed reportable
  • Ensure adequate ground up reserves of the TPA's claim file and maintain current diaries to ensure effective claim management
  • Review and evaluate loss reports on each assigned program to identify trends, provide input/commentary, and identify reportable claims to Underwriting team members
  • Consistently demonstrate appropriate degree of engagement, responsiveness, and sensitivity while communicating and establishing proactive claims management process with the customer, TPA, and Underwriter
  • Manage and direct any suits wherein Arch is named directly arising out of the assigned program
  • Actively oversee, participate, and manage direction of high exposure claims and directing defense counsel when appropriate
  • Manage and direct subrogation recovery efforts in partnership with TPA
  • Monitor and report claim results to team members of Underwriting and Senior Claims Management on as needed bases
  • Participate in large claim committee meetings as necessary to secure internal approval for proposed reserves and/or settlement authority in excess of assigned authority
  • Prepare and present written/oral reports at risk control meetings
  • Review and interpret all program assigned binders, reinsurance, and financial agreements
  • Convey a difficult decision in a diplomatic way
  • Negotiate our position on reserve and settlements
  • Conduct bi-annual reserve adequacy reviews for all assigned programs
  • Conduct Best Practice Audits and complete post-audit reports for internal compliance purposes and conduct for all assigned TPA's as well as informal wrap-up conferences with TPA to highlight key findings and areas of concern (if applicable)
  • Other duties an ad hoc special projects
Required Skills/Experience

  • Minimum of ten (10) years' working experience overseeing and managing workers' compensation claims process for captive or loss sensitive programs
  • Proper Adjuster Licenses in all applicable states, CA particularly
  • Ability to handle high severity claims
  • Knowledge & expertise with multiple jurisdictions specifically California experience
  • 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
  • Ability to take part in active strategic discussions
  • Ability to work independently and in a team environment
  • Willing and able to travel and participate in client meetings 5%

  • Bachelor's degree preferred

The Company

Arch Insurance is a global insurer offering our clients superior coverage and service. We embody the Arch guiding principle of focusing on retaining experienced and talented employees to differentiate us from the rest of the pack. Our group operates from offices in the US, Canada, Bermuda, UK, and Australia, providing specialty risk solutions to clients worldwide across a wide range of industries. With nearly 20 years of operating history and strong financial ratings, our track record remains solid.

Arch Insurance employs a disciplined underwriting approach and prudent risk selection across all types of business. Our mission is to provide our insureds with superb coverage and claims handling through careful and diligent underwriting of risks and business-friendly solutions. Across our global operations, Arch Insurance employees are ready to meet your needs with professionalism and excellence.

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