Claim Account Manager

Arch Capital Group Ltd.

Claims Manager ensuring compliance and oversight of multi-line claims handling with a focus on minimizing risk. Providing technical expertise and supervision on auto and general liability claims.

Posted 5/12/2026full-timeNew York City • Florida, New Jersey, New York, Washington • 🇺🇸 United StatesSeniorLead💰 $123,400 - $166,600 per yearWebsite

About the role

Key responsibilities & impact

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 TPA adjusters handling workers compensation, auto liability & general Liability claims which also include handling and supervision of outsourced claims
Work with our TPA’s to ensure proper claims handling and service delivery
Perform claims oversight on claims with an expected value of 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
Participate in client set-up meetings
Participate in telephonic as well as in person claims reviews
Participate in mid-term meetings
Help to resolve any claims or service issues that arise
Work with Underwriting and Risk Control to assist in the risk selection process
Review new/renewal submissions and commenting on any claims, legal or jurisdictional issues
Address potential solutions to current claims or service problems
Participate in meetings with brokers and/or prospective accounts
Identify loss trends on an account or book of business level
Conduct 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.)

Requirements

What you’ll need

Bachelor's degree preferred
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 analyze and utilize data to make direct impact on claims outcomes
Minimum of ten (12) years’ working experience overseeing and managing multi-line claims including auto liability, general liability, workers’ compensation, products and professional liability for high deductible and self-insured accounts
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
Ability to work independently and in a team environment
Willing and able to travel 25%

Benefits

Comp & perks

multiple medical plans plus dental, vision and prescription drug coverage
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 Off
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
more

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims oversightcoverage determinationsclaims auditsdata analysismulti-line claims managementhigh severity claims handlingjurisdictional knowledgerisk selectionnegotiationproblem-solving

Soft Skills

communicationinfluencingnegotiatinglisteninginterpersonal skillsorganizational skillsmultitaskingtime managementstrategic discussion participationrelationship development

Certifications

Adjuster Licenses