Claims Account Manager, NAC - Los Angeles
1 week ago
Job Summary
The Claims Division is seeking a team member to join the National Accounts Casualty (NAC) Team as a Claims Account Manager (CAM). In this role, the responsibilities include but not limited to actively manage and effectively oversee assigned NAC business accounts for Auto and General Liability claims written on a guaranteed cost basis, high deductible, and self-insured retention basis handled by third party administrators.Responsibilities
Work with our TPA's to ensure proper claims handling and service delivery which 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 trials Granting reserve settlement authority on cases above the TPA's authority Making coverage determinations writing Reservation of Rights coverage disclaimer letters Completing claims audits at TPA branch claims offices or online Handling or facilitating administrative tasks between Arch the TPA to ensure seamless service delivery to the client Act as the Service Manager/Arch claims contact for all accounts written by NAC including 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 Risk Control assist in the risk selection process including Reviewing new/renewal submissions commenting on any claims legal jurisdictional issues Addressing potential solutions current
Job description
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