3 Claims Account Manager - Worker's Comp Jobs in Hartford, CT

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Claims Account Manager - Worker's Comp

Arch Capital Group

Hartford, CT | Full Time

$160k-215k (estimate)

1 Month Ago

Claims Account Manager - Alternative Markets

Arch Capital Group

Hartford, CT | Full Time

$93k-119k (estimate)

1 Month Ago

VP Claims Customer Account Manager

HSB

Hartford, CT | Full Time

$269k-349k (estimate)

1 Month Ago

Claims Account Manager - Worker's Comp

Arch Capital Group Hartford, CT

$160k-215k (estimate)

Full Time 1 Month Ago

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Arch Capital Group is Hiring a Claims Account Manager - Worker's Comp Near Hartford, CT

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℠.

Job Summary

The Claims Account Manager (CAM) - Workers Compensation position has primary responsibility for overseeing and managing all claims from assigned captive programs handled by third party administrators. The role also involves communicating effectively with the respective underwriting teams, producers, brokers, claim consultants and attorneys. In addition to analyzing contracts, financials and the overall performance of the assigned captive The candidate should have prior experience with captive or loss sensitive program structures. Strong California jurisdictional knowledge is also required.

Responsibilities

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 and provide input and commentary to the underwriting department, as well as to identify reportable claims
Consistently demonstrate appropriate degree of customer/TPA/Underwriter engagement, responsiveness and sensitivity. Including proactive claim management and customer communication
Manage and direct any suits wherein Arch is named directly arising out of the assigned program
Actively oversee and participate in the management and direction of high exposure claims, directing defense counsel as appropriate
Manage and direct subrogation recovery efforts in partnership with the claims administrator;
Monitor and report claim results to Underwriting and senior claims management on an as needed basis
Participate in large claim committee meetings as necessary to secure internal approval for proposed reserves and/or settlement authority in excess of assigned authority
Conduct bi-annual reserve adequacy reviews of each assigned program
Conduct Best Practice audits of assigned Third Party Administrators; complete post-audit reports for internal compliance purposes; conduct informal wrap-up conferences with claims administrators to highlight key findings and areas of concern, if any
Occasional travel as necessary for conducting claims audits or other business purposes;
Ability to present at risk control meetings
Ability to review and interpret binders, reinsurance and financial agreements on each assigned program
Must be able to negotiate our position on reserve and settlements
Ability to convey a difficult decision in a diplomatic way
Must be highly responsive to all clients both internal and external
Must conduct himself or herself in a manner that will support and maintain the Company’s reputation for fairness and a high level of integrity
Must be highly professional and presentable
Other duties/special projects on an ad hoc basis.

Education & Experience

College Degree and/or 10 years Workers Compensation experience
Supervision or Management experience preferred
Proper Adjuster Licenses in all applicable States
Captive Claims Handling highly desired
Demonstrated ability to multiple jurisdictions
Demonstrated ability to handle high severity claims
Strong organizational skills
Excellent communication and presentation skills
Strong negotiation skills

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