Claims Examiner, DRC

McNeil & Co.; Philadelphia (Philadelphia County); Hybrid; USD 72,000 - 90,000; Full time

Benefits offered by this job

Medical plans

Dental coverage

Vision coverage

401k with match

PTO 20 days per year

Holidays

Parental Leave up to 10 weeks

Student Loan Assistance

Tuition Reimbursement

Backup Child and Elder Care

Life and AD&D Insurance

Job summary

Arch Insurance Group Inc. is seeking a Claims Examiner to join the Shared Services Team. You will investigate, evaluate and resolve commercial first and third party low complexity claims with documentation, regulatory alignment, and timely resolution.

The role requires strong communication, Excel/Outlook/PowerPoint proficiency, and the ability to work independently or in a team. Hybrid work model, base salary range $72,000–$90,000 per year, with comprehensive benefits.

Qualifications

• Bachelor's degree preferred; 3–5 years’ experience handling commercial insurance claims.
• Hands-on experience with Outlook, Excel, PowerPoint and Word.
• Knowledge of ImageRight preferred.
• Exceptional written and verbal communication; strong influencing, listening and interpersonal skills.
• Ability to work independently and in a team; strong time management and organizational skills.
• Texas Claim Adjuster license preferred, but required within six months of hire.

Responsibilities

• Investigate, evaluate and resolve various types of commercial first and third party low complexity claims.
• Provide and maintain exceptional customer service and ongoing communication to stakeholders through the life of the claim.
• Conduct thorough investigation of coverage, liability and damages; document facts and maintain evidence.
• Review and analyze supporting damage documentation.
• Comply with statutory and regulatory requirements in applicable jurisdictions.
• Establish appropriate loss and expense reserves with documented rationale.
• Demonstrate efficiency through timely and quality claim handling practices and guidelines.

Skills

Outlook Excel Word

PowerPoint

ImageRight

Communication

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.

#LI-SW1 #LI-HYBRID

14400 Arch Insurance Group Inc. Arch Capital Group Ltd. is a Bermuda-based specialty insurer that provides insurance, reinsurance and mortgage insurance on a worldwide basis. With a 20+-year track record of delivering results and a coveted position on the S&P 500 index, Arch is a great place to grow your career. Attention Job Seekers: Arch Capital Group Ltd. (Arch) and its affiliates take your interest in working here very seriously. Please be vigilant to fraudulent activity if you receive a communication or email asking you to submit any personal information. Do not send money or pass any details to someone suggesting they can provide employment with Arch. You should only enter your information into our official career portal. Please know the following about our interviewing and hiring practices. We never make job offers without a formal, in person, interview process. We never ask you to send money of any kind.