Claims Examiner, DRC

Arch Insurance Group Inc.; O’Fallon (MO); On-site; USD 72,000 - 90,000; Full time

Benefits offered by this job

Medical plans

Dental coverage

Vision coverage

401k with matching

PTO 20 days

Holidays

Volunteer Time Off

Life Insurance

AD&D Insurance

Short/Long-Term Disability

Paid Parental Leave

Student Loan Assistance

Tuition Reimbursement

Backup Child/Elder Care

Job summary

Arch Insurance Group Inc. in Missouri seeks a Claims Examiner to investigate, evaluate and resolve commercial first and third party low complexity claims. You will document thoroughly and prepare resolution action plans based on law, coverage and evidence.

Responsibilities include investigating coverage, liability and damages, maintaining records, and ensuring compliance with regulatory timelines while building strong stakeholder relationships. The role offers salary and comprehensive benefits.

Qualifications

• Bachelors degree preferred.
• 3-5 years’ experience handling commercial insurance claims.
• Texas Claim Adjuster license preferred; must obtain within six months.

Responsibilities

• Provide exceptional customer service and ongoing communication to stakeholders through the life of the claim.
• Conduct thorough investigation of coverage, liability and damages with documented evidence.
• Review and analyze supporting damage documentation.
• Stay abreast of statutory and regulatory requirements across jurisdictions.
• Establish appropriate loss and expense reserves with rationale.
• Demonstrate efficiency by executing best claim handling practices.

Skills

Outlook

Excel

PowerPoint

Word

Communication

Interpersonal skills

Time management

Teamwork

Education

Bachelor's degree

Tools

ImageRight

Job description

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

The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.

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

Experience & Qualifications

• Hands on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint and Work
• Knowledge of ImageRight preferred
• Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
• Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
• Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
• Ability to work well independently and in a team environment
• Texas Claim Adjuster license preferred, but not required for posting. Upon employment candidate would be required to obtain Texas Claim Adjuster license within six months of hire date.

Education

• Bachelors degree preferred
• 3-5 years’ experience handling the process of commercial insurance claims

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.

$72,000 - $90,000/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.

14400 Arch Insurance Group Inc.