Senior Claims Examiner jobs in United States
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Arch Insurance Group Inc. · 1 day ago

Senior Claims Examiner

Arch Insurance Group Inc. is a company that promotes collaboration, expertise, and innovation to help clients achieve their goals. The Senior Claims Examiner will manage and resolve claims, ensuring operational efficiency and collaboration across claims teams while providing exceptional customer service and conducting thorough investigations.

FinanceFinancial ServicesInsurance
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H1B Sponsor Likelynote

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

Qualification

Commercial insurance claimsAdjuster licensingMicrosoft OfficeClaims systemsAnalytical skillsCommunication skillsNegotiation skillsInterpersonal skillsOrganizational skillsTime management

Required

Bachelor's degree required
5-7 years of experience handling commercial insurance claims, including Employment Practices Liability
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

Preferred

Adjuster licensing in applicable states preferred; ability to obtain required licenses post-hire
Familiarity with claims systems (e.g., ImageRight) preferred

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

Company

Arch Insurance Group Inc.

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Arch Insurance Group Inc., a division of Arch Capital Group Ltd. (ACGL), is a market-leading specialty insurer.

H1B Sponsorship

Arch Insurance Group Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (18)
2023 (10)
2022 (10)
2021 (8)
2020 (3)

Funding

Current Stage
Late Stage

Leadership Team

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Rebecca Raisley
Vice President of Business Development
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Valerie Turpin
Division President - Property and Marine
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Company data provided by crunchbase