Complex Claims and Coverage Specialist

💰 $3,200 - $5,120 (Est.) 📍 New York City 🕐 3 days ago

Job Description

Full job description
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 Summary
Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units. In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims. You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and Insurance Department Complaints. The successful candidate will have significant coverage experience as well as GL (Bodily Injury and Property Damage) and Auto Liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service. Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. The successful candidate will work closely with the Arch Legal Department on a variety of matters.
Responsibilities
Deliver industry leading technical claim handling/management, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage.
Collaborate with TPA team members, Arch Claim Account Managers (“CAM’s”) and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies
Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims’ Procedures; striving to achieve optimum claim outcomes.
Effective and timely communication with insureds and brokers; making exceptional customer service a top priority
Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution
Effective claim file documentation, claim coding and diary management
Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines
Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures
Attend mediations, trials, other proceedings and meetings
Assist CAM’s and others with TPA management and oversight to include:
TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise
Sharing of claim handling/customer service best practices
Assistance with claim file reviews and claim audits
Regular meetings with TPA claims staff
Maintain all required state adjustor licenses
Qualifications
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
Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders
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 to effectively develop productive working relationships both within and outside Arch
Demonstrated ability to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing
Demonstrated ability to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations
Demonstrated ability to work well independently and in a highly collaborative team environment
Adaptable and able to succeed in a rapidly changing environment
Strong Microsoft Excel, PowerPoint and Word skills
Willing and able to travel up to approximately 10-15% of time
This will be a hybrid role in office 3 days a week
Education
Juris Doctorate required
#LI-SW1
#LI-HYBRID
For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$145,700 - $175,000/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 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. 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.
14400 Arch Insurance Group Inc.

💡 Quick Summary

Seeking a career-building opportunity? The Complex Claims and Coverage Specialist position is now open for candidates interested in the Insurance sector. This role in New York City offers a professional environment and growth potential.

Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Insurance is a plus.

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Frequently Asked Questions

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The expected salary for Complex Claims and Coverage Specialist in New York City is $3,200 - $5,120 (Est.) per month. Actual compensation may vary based on experience and negotiation.
No, Complex Claims and Coverage Specialist is an on-site position based in New York City. Candidates must be able to commute or relocate to this location.
Basic communication skills, a proactive attitude, and the ability to work in a team are required for Complex Claims and Coverage Specialist. Previous experience in Insurance is a plus. Freshers may also apply depending on the employer's requirements.
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