Program Manager
Westinghouse Electric Company
Claims Account Manager, Property
Arch Capital Group Ltd.
full-time
Posted on:
Origin: • 🇺🇸 United States • Florida
Visit company websiteJob Level
SeniorLead
About the role
- 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.
- The Claims Division is seeking a Property Claims Account Manager (CAM) to join the Programs Claim Team.
- Actively manage and effectively oversee assigned business accounts for commercial property claims handled by third party administrators.
- Perform technical claims oversight on claims with an expected value over $50,000.
- Attend mediations and trials.
- Grant reserve and settlement authority on cases above the TPA’s authority.
- Make coverage determinations and review Reservation of Rights and coverage disclaimer letters as prepared by the TPA.
- Complete claims audits at TPA branch claims offices or online.
- Handle or facilitate administrative tasks between Arch and the TPA to ensure seamless service delivery to the client.
- Provide overall portfolio management of the book. Data, analysis, trending and action planning related to audits or other findings.
- Responsible for Portfolio Management of assigned programs, which includes providing support to program-level CAM and Programs Underwriting team in understanding key drivers of activity and loss trends for assigned programs.
- Ensure timely reporting of large losses and anticipated development. Coordinate capture of CAT event data for assigned programs.
- Contribute claim insights to underwriting product development initiatives.
- Provide monthly updates to stakeholders on claim key performance indicators.
- Proactively review pending TPA files for potential oversight intervention.
- Act as the Arch Property claims contact for assigned Property accounts written by Programs, including participating in client set-up meetings, telephonic and in person claims reviews, mid-term meetings, and resolving claims or service issues.
- Conduct periodic Quality Assurance Audits of TPA performance consistent with claim handling guidelines and collaborate with TPA on action plans for improvement.
- Work with Underwriting and Risk Control to assist in the risk selection process.
- Provide feedback on any claims, legal or jurisdictional issues, and address potential solutions to current claims or service problems.
- Participate in meetings with brokers and/or prospective accounts/program managers.
- Identify loss trends on an account or book of business level.
- Conduct due diligence reviews on new TPA’s.
- Collaborate with other internal business units such as Finance, IT and Legal on any issues, trends or projects that arise.
- Address state and federal regulatory issues (state insurance department audits/complaints, etc.).
Requirements
- Minimum of ten (10) years’ working experience overseeing and managing First Party Commercial Property claims.
- Proper Adjuster Licenses in all applicable states
- Ability to handle high severity Commercial Property claims
- Working knowledge & expertise with multiple jurisdictions
- Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint, Word and Power BI.
- 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, 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%
