Description

CLAIMS MANAGER This position is based in our office in Fenton, MO

About the Position

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 ArchKey platform under the guidance of the Company's mission statement, corporate vision, and code of conduct/ethical business practices, and in alignment with all Company policies, procedures, key objectives and regulations

Our Ideal Candidate

• 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.

Day in the Life

• Analyzes incidents to determine the necessity of reporting claims to carriers or retaining claims as part of the Company's 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.

Minimum Qualifications
• Bachelor's 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 solving and time management skills.
• Demonstrated ability to diagnose problems with strategic thinking skills and detail orientation, and to drive timely and appropriate solutions across all business lines with self-initiative and sensitivity.
• Excellent written and verbal communication skills, including high quality documentation and report preparation.
• Demonstrated high level of integrity and dependability.

Benefits

At ArchKey Solutions, our benefits package includes competitive health insurance options (medical, dental, and vision), a robust 401(k) retirement savings plan with employer match, paid time off and holidays, and access to wellness programs. Additionally, we offer professional development opportunities, tuition reimbursement, and employee assistance programs to support your growth and well-being. We ensure that our benefits are designed to promote the health, security, and work-life balance of our employees. Additional information is available at Archkey.com.

Beware of fraudulent job postings. ArchKey Solutions only communicates through official channels. All official communication will come from an @archkey.com email address and we will never ask for financial information, payments, or personal details outside of the standard hiring process. To confirm the legitimacy of a job, visit our careers page or reach out to a member of our Talent Acquisition team.