Senior Claims Examiner

Arch Insurance Group Inc. • Jersey City, NJ

3d • Hybrid

About The Position

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Overview Claims Shared Services seeks a Senior Claims Examiner responsible for managing and resolving claims with varying complexity, including Employment Practices Liability and other commercial lines. The role supports Shared Services initiatives and workflows, ensuring operational efficiency and collaboration across claims teams. Responsibilities include thorough investigation, strategic resolution planning, and partnership with internal and external stakeholders to deliver best-in-class claims handling.

Requirements

• Bachelor’s degree required
• 5-7 years of experience handling commercial insurance claims, including Employment Practices Liability.
• Adjuster licensing in applicable states preferred; ability to obtain required licenses post-hire.
• Exceptional communication, negotiation, and interpersonal skills.
• Strong analytical, organizational, and time management abilities.
• Proficiency in Microsoft Office (Excel, PowerPoint, Word); familiarity with claims systems (e.g., ImageRight) preferred.
• Demonstrated ability to work independently and collaboratively in a team environment.

Responsibilities

• Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
• Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
• Review and analyze supporting damage documentation
• Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
• Establish appropriate loss and expense reserves with documented rationale
• Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
• Communicate effectively and timely with internal (such as underwriting) and external customers on claims and account issues
• Maintain and manage diary system to efficiently manage and resolve assigned pending
• Identify and communicate trends with senior claims and underwriting management
• Effectively draft written communications to Insureds and Claimants regarding status of claim i.e. request for information, confirmation of investigatory details and/or coverage position letters
• Mitigate claim expenses as economically as possible
• Summarize claims in excess of authority and submit rational to manager for approval
• Negotiate settlements within approved authority level, issue settlement payments and document all activities
• Identify potential subrogation and fraud opportunities and make appropriate referrals
• Support claims workflow efficiency by accurately documenting claim progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge
• Use multiple systems to gather, enter and analyze claim metric data to ensure targets are achieved

Benefits

• multiple medical plans plus dental, vision and prescription drug coverage
• a 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 Offer
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior