Claims Manager

Claims Manager

Arch Key Solutions

Location:

Fenton, MO, United States

Job Type: Full-Time

Department:
Project Delivery

CLAIMS MANAGER

This position is based in our office in Fenton, MO

Arch Key is one of the nations largest privately held specialty trade installation and integrated facility service companies. We are a leader in designing, building and maintaining electrical, technologies and specialty systems. Were the POWER behind making the improbable possible. Were electrifying the nation, energizing the future and bringing communities to life like never before. What we do today shapes the vision of tomorrow.

Our work impacts lives long after the building is done. This means we are committed to building in ways that are not just technologically advanced, but sustainable, scalable and equitable by all. Were not just energizing infrastructure, were energizing careers, communities, and the future.

Made up of the brightest minds in the industry, our team is our greatest asset, bringing knowledge, skills, and experience to every project. This is more than a call to join us, its an invitation to be part of a visionary journey, to grow with us as we scale.

Responsible for developing and implementing a thorough, practical, and effective claims management program at the Company. This position provides incident investigation and claims management support across the Arch Key platform under the guidance of the Companys mission statement, corporate vision, and code of conduct/ethical business practices, and in alignment with all Company policies, procedures, key objectives and regulations

• Can flex and adapt with the growing needs of the business.
• Can work autonomously and creatively solve problems.
• Has a growth mindset and is always looking to continually learn and grow.

• Analyzes incidents to determine the necessity of reporting claims to carriers or retaining claims as part of the Companys self-handling protocol.
• Communicates directly with risk management leadership before remitting claims to insurance carriers.
• Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters and legal counsel to resolve claims, and makes quality recommendations on handling for successful claims resolution.
• Authorizes settlements, compromises, and pays claims up to $25,000.
• Attends regular meetings to update and discuss status of open claims and action plans for closure.
• Oversees the implementation and utilization of the Risk Management Information System (RMIS) to assure that all incidents are captured, reported, and the financial information is current and accurate.
• Manages third-party medical bill audits for all self-handled medical expenses.
• Generates reports for claim activities and costs.
• Accurately and confidentially maintains Company claim records and other sensitive employee data.
• Assists with prompt medical care for occupational injuries, monitors ongoing medical treatments, procures appropriate restrictions, and assists in identifying light duty or alternate work options for employees successful return to work.
• Maintains compliance with all federal, state, and local laws and regulations.
• Collaborates with safety team on all incidents and investigations and coordinates with safety leadership regarding claims data, analytics and trends identified for use in preventive measures, incident investigations and crisis management.
• Develops and maintains strong, positive working relationships with all stakeholders and communicates professionally with internal and external customers.
• Consistently makes decisions in an attentive and safe manner to ensure the safety and health of self and others.
• Utilizes LEAN concepts or other continuous improvement methodologies to ensure the most efficient operations, processes, and activities.
• Promotes and models the Company mission, vision and values through exercising sound and ethical business practices, championing all elements of diversity, equity, and inclusion (DEI) and providing high quality services and programs as they relate to clients, subcontractors, co-workers, suppliers, and the public.

• Bachelors degree or equivalent work experience in risk management, insurance claims management, safety, construction management or a related field.
• Associate in Risk Management (ARM) certification or equivalent training in the insurance industry is required.
• Minimum 5-7 years of experience with claims processing and claims management, preferably in the electrical construction industry.
• Keen knowledge of construction & general industry safety standards, including OSHA, MSHA, DOT & NFPA 70E.
• Excellent business analysis and mathematical skills.
• Skills to read and interpret financial documents.
• Superior listening, presentation, negotiation, conflict management and persuasion skills, and the ability to influence employees at all levels, including senior management.
• Effective organizational, complex problem…