Senior DRC Claims Examiner

Arch Capital Group Ltd.

Senior DRC Claims Examiner managing and resolving complex commercial insurance claims. Collaborating with stakeholders and ensuring operational efficiency at Arch Insurance Group.

Posted 7/20/2026full-timeRemote • Illinois, New Jersey, New York • 🇺🇸 United StatesSenior💰 $90,000 - $107,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing commercial insurance claims with a focus on effective communication, negotiation, and adherence to regulatory standards. Proficient in analyzing claim data and maintaining documentation to support resolution and compliance.

Highest-signal resume keywords

Commercial Insurance Claims HandlingAdjuster LicensingNegotiation SkillsAnalytical AbilitiesMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationDamage EvaluationClaim ResolutionDocumentation ManagementLoss Reserve EstablishmentClaims Workflow EfficiencySubrogation IdentificationFraud Detection

Soft Skills

Exceptional CommunicationInterpersonal SkillsOrganizational AbilitiesTime Management

Tools & Technologies

Claims SystemsImageRightMicrosoft ExcelMicrosoft PowerPointMicrosoft Word

Certifications & Qualifications

Adjuster Licensing

Industry Keywords

Employment Practices LiabilityRegulatory ComplianceStatutory RequirementsClaim Metric Data

About the role

Key responsibilities & impact

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 rationale 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.

Requirements

What you’ll need

Bachelor’s degree required
5-7 years of experience handling commercial insurance claims, including Employment Practices Liability.
Adjuster licensing in applicable states preferred; ability to obtain required licenses post-hire.
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.
Ability to work independently and collaboratively in a team environment.

Benefits

Comp & perks

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 Off
basic Life and AD&D Insurance
Short and Long-Term Disability
Paid Parental Leave of up to 10 weeks
Student Loan Assistance
Tuition Reimbursement
Backup Child and Elder Care
and more.