Description

The Claims Division is seeking a Property Claims Account Manager (CAM) to join the Programs Claim Team.  In this role, the incumbent will actively manage and effectively oversee assigned business accounts for commercial property claims handled by third party administrators. 

Responsibilities

Work with our TPA’s to ensure proper claims handling and service delivery, this includes:
Performing technical claims oversight on claims with an expected value over $50,000  
Attend mediations and trials
Granting reserve and settlement authority on cases above the TPA’s authority
Making coverage determinations and reviewing Reservation of Rights and coverage disclaimer letters as prepared by the TPA
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
Providing overall portfolio management of the book. Data, analysis, trending and action planning related to audits or other findings.
Responsible for Portfolio Management of assigned programs, which includes providing support to program-level CAM and Programs Underwriting team in understanding key drivers of activity and loss trends for assigned programs.
Ensure timely reporting of large losses and anticipated development
Coordinate capture of CAT event data for assigned programs
Contribute claim insights to underwriting product development initiatives
Provide monthly updates to stakeholders on claim key performance indicators
Proactively review pending TPA files for potential oversight intervention
Act as the Arch Property claims contact for assigned Property accounts written by Programs, 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
Conduct periodic Quality Assurance Audits of TPA performance consistent with claim handling guidelines and collaborate with TPA on action plans for improvement
Work with Underwriting and Risk Control to assist in the risk selection process, which includes:
Provide feedback 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/program managers
Identifying loss trends on an account or book of business level
Conducting due diligence reviews on new TPA’s
Collaborate with other internal business units such as Finance, IT and Legal on any issues, trends or projects that arise
Address state and federal regulatory issues (state insurance department audits/complaints, etc.)

Experience & Required Skills

Minimum of ten (10) years’ working experience overseeing and managing First Party Commercial Property claims.
Proper Adjuster Licenses in all applicable states
Ability to handle high severity Commercial Property claims
Working knowledge & expertise with multiple jurisdictions
Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint, Word and Power BI.
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 25%

Education

Bachelor's degree preferred; in lieu of degree, 15 years of working and managing first party commercial property claims experience