Complex Claims and Coverage Specialist

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 Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its Major Case Unit as a Complex Claims and Coverage Specialist. This position will focus primarily on claims from our Programs, National Accounts, Alternative Markets, and Construction Business Units. In this role you will deal with sophisticated litigation and complex coverage issues, including long-tail bodily injury exposures, claims arising under Coverage B of Primary/Excess CGL policies, as well as environmental and toxic tort claims. You will handle claims involving Multi-District Litigation, Class Action lawsuits, complex coverage matters, claims against the company and Insurance Department Complaints. The successful candidate will have significant coverage experience as well as GL (Bodily Injury and Property Damage) and Auto Liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service. Responsibilities include, actively managing large exposure and complex general/auto liability claims (primary, umbrella and excess) handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. The successful candidate will work closely with the Arch Legal Department on a variety of matters. Responsibilities Deliver industry leading technical claim handling/management, 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 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 Maintain all required state adjustor licenses Qualifications 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 Significant experience handling claims involving contractual risk transfer, including making and responding to contractual indemnity and Additional Insured tenders TPA management/oversight experience is a plus Excellent customer service skills and service minded Strong analytical and problem-solving skills Strong negotiation skills Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch Demonstrated ability 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 Demonstrated ability to effectiv