VP, Claims, Healthcare

Arch Insurance Group Inc. • Jersey City, NJ

1d • 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 Summary Our Healthcare Claims Division is seeking a Vice President (VP) to lead and oversee the healthcare professional liability claims team. This team manages complex claims for hospitals, miscellaneous healthcare facilities and other healthcare providers. The role will require collaboration with underwriters, brokers, and program stakeholders. The VP will ensure efficient claims handling, compliance with regulatory requirements, and strategic leadership to support organizational goals.

Requirements

• Exceptional communication, analytical, negotiation, and interpersonal skills to effectively collaborate across teams.
• Strong leadership skills with experience driving change and improving operational efficiency.
• Proven ability to manage and mentor high-performing teams.
• Strong organizational and time‑management abilities.
• Demonstrated experience leading complex healthcare or medical malpractice claims.
• Ability to work independently and in a collaborative team environment.
• Proficiency in Microsoft Excel, PowerPoint, and Word.
• Willingness to travel up to 10% as required.
• Bachelor’s degree required; Juris Doctorate preferred.
• Minimum 10 years of experience in healthcare professional liability, medical malpractice claims, or related field.
• Active adjuster licensing in applicable states or ability to obtain licensure within designated time frame.

Responsibilities

• Develop and maintain strong relationships with healthcare program partners, including providing regular reports, identifying trends, and advising on regulatory and legal developments impacting insured healthcare professionals.
• Identify and evaluate coverage issues, review coverage position letters, retain coverage counsel, and review legal opinions as needed.
• Develop and implement claims strategies that align with organizational goals and support efficient resolution of complex healthcare liability matters.
• Establish team goals, KPIs, and accountability frameworks to ensure operational excellence.
• Provide coaching, performance management, and development for claims managers and examiners.
• Collaborate with underwriting, risk management, defense counsel, and brokers to communicate claims developments and outcomes. Assess liability and damages, review investigative materials, and determine appropriate reserves for each claim.
• Review pleadings, expert reports, medical records, and other relevant case documentation.
• Prepare and present written and oral reports to senior leadership summarizing claim evaluations, recommendations, and reserve analyses.
• Negotiate resolutions of claims, including settlement discussions and mediation.
• Maintain accurate claim diaries, timely reserve postings, and prompt responses to internal and external inquiries.
• Travel as needed to attend internal meetings and events, mediations, hearings, and other claim‑related proceedings.

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: Executive
• Number of Employees: 501-1,000 employees