Account Manager

• 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 Arch Underwriting, 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
• 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.)

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