AVP, National Accounts

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Job Summary

The Claims Division is seeking an AVP to join the National Accounts Casualty (NAC) Team . In this role, the incumbent will actively manage and effectively oversee assigned NAC business accounts for workers' compensation, auto, and general liability claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.

Responsibilities

• Lead and manage Claim Account Managers and other claim professionals in achieving high standards of productivity, efficiency and alignment of organizational goals
• Ensure compliance with all local, federal and state regulations related to claims while minimizing risk/exposure to the Arch organization
• Provide technical expertise and oversight to staff with handling workers compensation, auto liability & general Liability claims which also includes handling and supervision of outsourced claims

• Work with our TPA's to ensure proper claims handling and service delivery, this includes
  • Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self insured business
  • Attend mediations and trials
  • Granting reserve and settlement authority on cases above the TPA's authority
  • Making coverage determinations and writing Reservation of Rights and coverage disclaimer letters
  • 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
• Act as the Service Manager/Arch claims contact for all accounts written by NAC, 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
  • Understand and use of data analytics and stewardship
• Work with Underwriting and Risk Control to assist in the risk selection process, which includes:
  • Reviewing new/renewal submissions and commenting 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
  • Identifying loss trends on an account or book of business level
  • Conducting due diligence reviews on new TPA's or accounts that want to self-administer claims
• Collaborate with other internal business units such as Finance, IT and Legal on any issues or projects that arise
• Address state and federal regulatory issues (Medicare issues, state insurance department audits/complaints, state workers compensation board requirements, etc.)

Education and Experience

• Bachelor's degree preferred
• Preferred locations: New England, New York, Pennsylvania, New Jersey, Maryland, Washington DC Metro
• Minimum of ten (10) years' working experience overseeing and managing multi-line claims with workers' compensation, auto, and general liability for high deductible and self-insured accounts
• Prior management experience preferred
• Experience monitoring committee process
• Proper Adjuster Licenses in all applicable states
• Ability to handle high severity claims
• Knowledge & expertise with multiple jurisdictions
• 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, multitasking, 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%

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For individuals assigned or hired to work in California, Colorado, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible.

$111,300 - $150,210/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 range may be modified in the future
• Click here to learn more on available benefits

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