Claims Manager

ArchKey Solutions; Fenton (MO); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Paid time off

Holidays

Wellness programs

Professional development

Job summary

ArchKey Solutions in Fenton, MO is seeking a Claims Manager to lead the company’s claims management program. You will investigate incidents, determine reporting needs, and coordinate with carriers, adjusters and legal counsel to drive timely settlements and prevent losses.

You will oversee RMIS usage, medical bill audits, and reporting of claim activities, while partnering with safety leadership to identify trends and improve risk controls.

Qualifications

• Bachelor’s degree in risk management, insurance claims management, safety, or related field.
• ARM certification or equivalent training in the insurance industry.
• 5–7 years of claims processing and claims management experience.
• Knowledge of construction and general industry safety standards (OSHA, MSHA, DOT, NFPA 70E).
• Strong analytical, mathematical, and reporting skills.
• Ability to read and interpret financial documents.
• Excellent communication, negotiation, and stakeholder influence skills.
• Integrity and dependable work ethic.

Responsibilities

• Analyze incidents to determine reporting to carriers or self-handling per company policy.
• Communicate with risk management leadership before remitting claims to carriers.
• Conduct thorough claim investigations, monitor medical reports, coordinate with adjusters and legal counsel to resolve claims.
• Authorize settlements up to $25,000.
• Attend regular meetings to update status of open claims and action plans for closure.
• Oversee RMIS implementation to ensure incidents are captured and financial data is current.

Skills

Business analysis

Negotiation

Communication

Problem solving

Time management

Integrity

Leadership

Education

Bachelor's degree

ARM certification

Tools

RMIS

Job description

Claims Manager

Position based in Fenton, MO.

Overview

Responsible for developing and implementing a thorough, practical, and effective claims management program at the Company. Provides incident investigation and claims management support across the ArchKey platform.

Ideal Candidate

• Can flex and adapt with the growing needs of the business.
• Can work autonomously and creatively solve problems.
• Has a growth mindset and is always looking to continually learn and grow.

Day in the Life

• Analyzes incidents to determine the necessity of reporting claims to carriers or retaining claims as part of the Company’s self-handling protocol.
• Communicates directly with risk management leadership before remitting claims to insurance carriers.
• Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters and legal counsel to resolve claims, and makes quality recommendations on handling for successful claims resolution.
• Authorizes settlements, compromises, and pays claims up to $25,000.
• Attends regular meetings to update and discuss status of open claims and action plans for closure.
• Oversees the implementation and utilization of the Risk Management Information System (RMIS) to assure that all incidents are captured, reported, and the financial information is current and accurate.
• Manages third-party medical bill audits for all self-handled medical expenses.
• Generates reports for claim activities and costs.
• Accurately and confidentially maintains Company claim records and other sensitive employee data.
• Assists with prompt medical care for occupational injuries, monitors ongoing medical treatments, procures appropriate restrictions, and assists in identifying light duty or alternate work options for employees’ successful return to work.
• Maintains compliance with all federal, state, and local laws and regulations.
• Collaborates with safety team on all incidents and investigations and coordinates with safety leadership regarding claims data, analytics and trends identified for use in preventive measures, incident investigations and crisis management.
• Develops and maintains strong, positive working relationships with all stakeholders and communicates professionally with internal and external customers.
• Consistently makes decisions in an attentive and safe manner to ensure the safety and health of self and others.
• Utilizes LEAN concepts or other continuous improvement methodologies to ensure the most efficient operations, processes, and activities.
• Promotes and models the Company mission, vision and values through exercising sound and ethical business practices, championing all elements of diversity, equity, and inclusion (DEI) and providing high quality services and programs as they relate to clients, subcontractors, co‑workers, suppliers, and the public.

Minimum Qualifications

• Bachelor’s degree or equivalent work experience in risk management, insurance claims management, safety, construction management or a related field.
• Associate in Risk Management (ARM) certification or equivalent training in the insurance industry is required.
• Minimum 5-7 years of experience with claims processing and claims management, preferably in the electrical construction industry.
• Keen knowledge of construction & general industry safety standards, including OSHA, MSHA, DOT & NFPA 70E.
• Excellent business analysis and mathematical skills.
• Skills to read and interpret financial documents.
• Superior listening, presentation, negotiation, conflict management and persuasion skills, and the ability to influence employees at all levels, including senior management.
• Effective organizational, complex problem solving and time management skills.
• Demonstrated ability to diagnose problems with strategic thinking skills and detail orientation, and to drive timely and appropriate solutions across all business lines with self‑initiative and sensitivity.
• Excellent written and verbal communication skills, including high quality documentation and report preparation.
• Demonstrated high level of integrity and dependability.

Benefits

At ArchKey Solutions, our benefits package includes competitive health insurance options (medical, dental, and vision), a robust 401(k) retirement savings plan with employer match, paid time off and holidays, and access to wellness programs. Additionally, we offer professional development opportunities, tuition reimbursement, and employee assistance programs to support your growth and well‑being. We ensure that our benefits are designed to promote the health, security, and work‑life balance of our employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We are an affirmative action, Equal Opportunity Employer. #MO1-10