Sr. Complex Claims Specialist

McNeil & Co.; Alpharetta (GA); On-site; USD 145,000 - 175,000; Full time

Benefits offered by this job

Medical plans

401k with matching

PTO 20 days per year

Holidays + Volunteer Time Off

Life and AD&D Insurance

Parental Leave

Student Loan Assistance

Job summary

Arch is seeking an experienced senior claims professional to oversee large exposure general/auto liability and trucking claims, including TPA coordination. The role emphasizes technical claim handling, budgeted litigation strategies and strong customer service.

Candidates should have a Law degree or equivalent experience, 10+ years in commercial liability claims, and solid negotiation and analytic skills. Travel up to 10% may be required. This is a hybrid role in Alpharetta, GA.

Qualifications

• Education: JD preferred; 10+ years handling complex general/auto liability claims.
• Experience handling large exposure claims or insurance defense/coverage in a law firm.
• Maintains required state adjustor licenses.

Responsibilities

• Actively managing and overseeing large exposure and complex liability and trucking claims.
• Deliver technical claim handling/oversight and support Arch business stakeholders.
• Collaborate with TPA team, CAMs and other claim professionals on resolutions.
• Work with underwriters, Legal and other functions to ensure timely communication.
• Conduct coverage analysis, indemnity reserving and litigation management.
• Maintain claim file documentation, coding and diary management.
• Assist with litigation/coverage strategies and budgets with defense counsel.
• Analyze and approve legal bills according to strategy and budgets.
• Attend mediations, trials, and meetings; maintain licenses; TPA oversight meetings.

Skills

TPA management

Customer service

Analytical thinking

Negotiation

Communication skills

Team collaboration

Travel readiness

Education

Juris Doctorate preferred

10+ years liability claims experience

Tools

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

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

• Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators(“TPA’s”) and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process.
• Deliver industry leading technical claim handling/oversight, 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
• Maintains all required state adjustor licenses
• 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

Experience & Required Skills

• Trucking, construction, emergency service/medical professional liability claim handling experience is a plus
• TPA management/oversight experience is a plus
• Excellent customer service skills and service minded
• Strong analytical and problem solving skills
• Strong negotiation skillsExceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch
• Able 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
• Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations
• Able to work well independently and in a highly collaborative team environment
• Adaptable and able to succeed in a rapidly changing workplace
• Strong Microsoft Excel, PowerPoint and Word skills
• Willing and able to travel approximately up to 10% of time

Education & Minimum Requirements

Education Juris Doctorate preferred. 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 #LI-SW1 #LI-HYBRID

Salary & Compensation

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. $145,000 - $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.

Benefits & Perks

• 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.

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you.