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, Hawaii, 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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