Claims Specialist

Candidate will primarily provide claim technical oversight to TPA staff for general liability claims.  The position requires knowledge of ISO general liability coverage for middle market general liability customers.  Knowledge of New York labor law 240 is a plus.  The position interacts with MGU executives, internal underwriting, internal actuaries and other internal cross functional support areas.

Responsibilities include:

• Provide coverage, investigative, vendor selection, claim recovery and resolution advice to TPA adjusters.

• Provide feedback on reservation of rights and coverage disclaimer letters to TPA adjusters.

• Select, coordinate conduct and complete annual claim file reviews (audits) for TPA handled programs under management.

• Present audit findings to program MGU, TPA senior leadership and underwriting.

• As required, identify,implement or provide required skill building for TPA adjusters on Arch programs.

• Attend and present as requested to underwriting at program renewals.

• Implement and chair regular communication meetings with the MGU, the MGU’s claim staff, TPA adjusters and Arch underwriters to assure transparency in program claim handling. 

• Professionally communicate large loss heads-up written communication at defined thresholds.

• Review monthly TPA bordereaux and reconcile to internal claim system.

• Identify and communicate legal trends to internal program underwriters that may impact program profitability. 

• Provide program underwriting team feedback on MGU and program performance.

• Some travel is required (3-5 trips annually)

Experience required:

• 5-7 yearsof experience in general liability claim supervision.

• 3-5 years of experience interacting with MGU’s, underwriting management and actuaries.

• The position demands strong influence management skills, mentoring and supervisory experience.

• Bachelor’s degree is preferred.

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