Senior Claims Examiner

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Position Summary

The Senior Claim Examiner is a highly skilled professional responsible for the end-to-end management of complex commercial insurance claims, with a particular emphasis on liability exposures within educational institutions. This role requires advanced legal and analytical expertise, including policy interpretation, litigation strategy, and negotiation. The Senior Examiner serves as a subject matter expert in liability claims, ensuring resolution is achieved efficiently, equitably, and in compliance with regulatory and organizational standards.

This position involves direct engagement with school administrators, district representatives, and legal counsel, requiring a high level of professionalism and sensitivity to the unique operational challenges of academic environments.

 

Essential Functions and Responsibilities

1. Complex Claim Investigation & Evaluation

• 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.

2. Strategic Claim Management

• Manage a caseload of complex and litigated claims with minimal supervision.
• Utilize advanced claim systems and analytics to monitor trends and identify emerging risks.
• Ensure timely and accurate documentation and compliance with internal and external standards.

3. Stakeholder Communication & Litigation Support

• Serve as the primary contact for high-profile or sensitive liability claims involving educational institutions.
• Communicate effectively with insureds, attorneys, agents, and internal leadership.
• Participate in mediations, depositions, and settlement conferences as needed.

4. Coverage & Damage Assessment

• 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.

5. Reserving, Negotiation & Settlement

• Establish and maintain accurate reserves for complex liability claims.
• Lead negotiations for settlements, balancing legal exposure, fairness, and cost-effectiveness.
• Ensure all claim activities are documented in accordance with regulatory and audit standards.

Knowledge, Skills, and Abilities

• Advanced certifications (e.g., AIC, CPCU) a plus.
• Minimum 5 years of experience in commercial liability claims, including litigation management.
• Experience working with public school entities or educational institutions is highly desirable.
• 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.
• Occasional travel required for field inspections, mediations, or client meetings.

For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$90,000 - $140,000/year

• Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future.

• Arch is committed to helping employees succeed through our comprehensive benefits package that includes 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; and more. Click here to learn more on available benefits.

   

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.

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