Senior Claims Examiner

Arch Capital Group • Cortland, NY

8d

About The Position

The Senior Claim Examiner manages complex commercial insurance claims end to end, with particular emphasis on liability exposures involving educational institutions. The role requires advanced legal and analytical expertise in policy interpretation, litigation strategy, and negotiation. The examiner acts as a subject matter expert, working to resolve claims efficiently and equitably while complying with regulatory and organizational standards. The position involves direct engagement with school administrators, district representatives, and legal counsel, with professionalism and sensitivity to the operational challenges of academic environments.

The role independently investigates and evaluates high-exposure claims, manages complex and litigated caseloads with minimal supervision, and serves as the primary contact for high-profile or sensitive claims involving educational institutions. It also includes coverage and damage assessment, reserving, settlement negotiations, documentation, and recommendations for claim resolution and risk mitigation. Occasional travel is required for field inspections, mediations, or client meetings.

Requirements

• Minimum 5 years of experience in commercial liability claims, including litigation management.
• Deep understanding of tort law, insurance coverage, and state-specific regulations.
• Exceptional written and verbal communication skills.
• Strong analytical, negotiation, and decision-making abilities.
• Proficiency in Microsoft Office Suite and claim administration software.
• Ability to work independently and manage a high-complexity desk.

Nice To Haves

• Experience working with public school entities or educational institutions is highly desirable.
• Advanced certifications such as AIC or CPCU are a plus.

Responsibilities

• Independently confirm coverage and conduct in-depth investigations of high-exposure liability claims.
• Analyze multi-party liability scenarios and assess legal and financial exposure.
• Collaborate with internal and external legal counsel, technical experts, and consultants.
• Manage a caseload of complex and litigated claims with minimal supervision.
• Use claim systems and analytics to monitor trends and identify emerging risks.
• Maintain timely and accurate documentation and comply with internal and external standards.
• Serve as the primary contact for high-profile or sensitive liability claims involving educational institutions.
• Communicate with insureds, attorneys, agents, and internal leadership.
• Participate in mediations, depositions, and settlement conferences as needed.
• Interpret complex policy language, exclusions, and endorsements to determine coverage applicability.
• Oversee damage assessments and liability evaluations using internal tools and external resources.
• Provide strategic recommendations for claim resolution and risk mitigation.
• Establish and maintain accurate reserves for complex liability claims.
• Lead settlement negotiations, balancing legal exposure, fairness, and cost-effectiveness.
• Document claim activities in accordance with regulatory and audit standards.
• Travel occasionally for field inspections, mediations, or client meetings.

Benefits

• Multiple medical plans, plus dental, vision, and prescription drug coverage.
• Competitive 401(k) with generous matching.
• PTO beginning at 20 days per year.
• Up to 12 paid company holidays per year.
• Two paid days of Volunteer Time Offer.
• Basic life and AD&D insurance.
• Short- and long-term disability coverage.
• 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
• Education Level: No Education Listed