Sr. Complex Claims Specialist
$145k - $175kArch Insurance Group Inc.
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 Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators (“TPA’s”) and supporting Arch business stakeholders. Please note this role does require managing any direct reports but is responsible for managing the claims & TPA process. Responsibilities Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services an Arch competitive advantage Collaborate with TPA team members, Arch Claim Account Managers (“CAM’s”) and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies Work closely with underwriters, Legal, Operations, claim professionals, and other Arch functions, to ensure timely and effective communication consistent with Arch Claims’ Procedures, striving to achieve optimum claim outcomes Effective and timely communication with insureds and brokers; making exceptional customer service a top priority Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution Effective claim file documentation, claim coding and diary management Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Arch Claims Litigation Management Guidelines Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Arch Claims Procedures Attend mediations, trials, other proceedings and meetings Maintains all required state adjustor licenses Assist CAM’s and others with TPA management and oversight to include: o TPA claim staff training relating to Arch processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise o Sharing of claim handling/customer service best practices o Assistance with claim file reviews and claim audits o Regular meetings with TPA claims staff Experience & Required Skills Trucking, construction, emergency service/medical professional liability claim handling experience is a plus TPA management/oversight experience is a plus Excellent customer service skills and service minded Strong analytical and problem-solving skills Strong negotiation skills Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Arch Able to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations Able to work well independently and in a highly collaborative team environment Adaptable and able to succeed in a rapidly changing workplace Strong Microsoft Excel, PowerPoint and Word skills Willing and able to travel approximately up to 10% of time Education Juris Doctorate preferred. Minimum of 10 years commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims, or insurance defense/coverage practicing attorney with similar law firm experience 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. $145,000 - $175,000/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. #J-18808-Ljbffr Arch Insurance Group Inc.
$140k - $170k
Job Type: Permanent Build a brilliant future with Hiscox Our Senior Complex Claims Specialist - Allied Healthcare is an individual contributor role, responsible for the handling of mostly high-severity primary Allied Healthcare Professional Liability claims from inception...SeniorPermanent employmentTemporary workWork at office$160k - $190k
...King’s Insurance Staffing is partnering with a growing specialty insurance carrier seeking an experienced claims professional to join its Professional Liability Complex Claims team. This position will focus on handling complex claims within a specialized Financial...SeniorRemote workFlexible hours- PMA Companies seeks a Remote Full-time Claims Investigator to independently analyze and resolve complex workers' compensation claims. You will assess coverage, reserves, and settlement options while coordinating with medical and nurse teams to support return-to-work strategies...SeniorRemote jobFull time
$150k - $195k
...stablished organization within the specialty insurance industry, is looking to add an experienced Senior Professional Liability Complex Claims Analyst to their New York team. This opportunity is ideal for a claims professional with extensive experience handling complex...SeniorWork at officeRemote work$54k - $103k
...CNA is one of the premier providers of professional liability insurance. CNA Specialty Financial Lines has an opening for a Complex Claim Specialist handling Private and Not-For-Profit D&O and Employment Professional Liability. This individual will work with insureds,...SuggestedWork experience placementWork at officeLocal area$54k - $103k
## Complex Claims Specialist - Cyber, Technology, Media, Fidelity & Miscellaneous Professional LiabilityApply: New York, NY, USA: Warren, NJ, USA: Boston, MA, USA: Lake Mary, FL, USA: Glastonbury, CT, USA: Full time: Posted Yesterday: R-8413You have a clear vision of where...Full timeWork experience placementWork at officeLocal area- CNA Financial in New York seeks a Complex Claims Specialist for its cyber, technology, MPL, and fidelity claim team. You will handle low to moderate complexity commercial claims with focus on timely investigation and fair resolution, while delivering best-in-class service...
- CNA Insurance is seeking a Complex Claims Consultant to manage highly complex professional liability claims for law firms nationwide, with a focus on coverage evaluation, liability assessment, and settlement negotiation. The role works in a hybrid schedule from CNA office...Work at office
- ...and manages new and renewal Ocean Marine Cargo business to grow the U.S. portfolio, with focus on Small and Middle Market and Large Complex Transit risks. You will assess supply-chain exposures, review contracts, work with brokers, and develop cross-sell opportunities...Senior
- CNA Insurance is seeking a Complex Claim Specialist to handle Private and Not-For-Profit D&O and EPL claims. You will manage a dynamic caseload across multi-state jurisdictions, investigate claims, determine coverage, and coordinate with defense counsel. The role emphasizes...
- CNA Insurance in New York is seeking a Complex Claim Specialist to handle Private and Not-For-Profit D&O and Employment Practices Liability. You will work with insureds, attorneys, and brokers to manage low to mid-severity claims across multiple states, investigate, determine...
$95k - $115k
All Jobs > Complex Workers' Compensation Claims Specialist (Northeastern USA) Complex Workers' Compensation Claims Specialist (Northeastern USA) Fully Remote • BHDIC Claims Full-time Description Berkshire Hathaway Direct Insurance Company (BHDIC) is the home of commercial...Full timeWork at officeImmediate startRemote work$250k
National General is seeking an experienced Property Field Adjuster to investigate and confirm facts of loss for the most complex homeowner claims in the New York area, including high-value losses up to $250K. You will estimate damages, negotiate settlements, and mentor...Senior- West Bend is seeking an experienced casualty claims professional to handle complex cases across construction defect, general liability, commercial transportation, and auto bodily injury lines. You will evaluate coverage and damages, negotiate settlements, and coordinate...Senior
- Unum is seeking candidates for an advanced technical role focused on thorough adjudication of complex short-term disability claims and FMLA/state leave expertise. The position emphasizes excellent customer service and collaboration with employees, employers, and health...SeniorTemporary work
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...SeniorRemote job- Investigate, evaluate, negotiate, and resolve moderate to highly complex casualty claims, including construction defect, general liability, commercial transportation, and auto bodily injury claims. Independently evaluate coverage, liability, damages, and exposure while...SeniorRemote job
- Gallagher Bassett is seeking an experienced MCL Adjuster to manage a portfolio of major and complex property claims from instruction through settlement, collaborating with clients, brokers and insurers to deliver high-quality service. You will handle varied losses across...Senior
$125k - $175k
Senior Claims Specialist Date: Jan 7, 2026 Company: Odyssey Headquartered in New York City with offices throughout the U.S. and in Vancouver... ...policies. Determine potential subrogation and fraud within complex cases. Provide timely updates to management and underwriting...SeniorWorldwide- AXIS Capital is seeking a Senior Claims Specialist for Casualty Programs to join our North America Programs Claims team. The role focuses on evaluating complex casualty claims, including NY Labor Law, construction, and complex litigation, with oversight of TPAs and coordination...Senior
$115k - $135k
...Our client is looking to add a Senior Commercial Liability Claims Consultant with strong New York Labor Law experience to manage and provide claims oversight for complex exposures. This person would be responsible for overseeing, identifying, evaluating, and mitigating...SeniorFull timeContract workFor contractors$110k - $140k
...or future sponsorship. The P&C Corporate Claims Division consists of over 100... ...seeking a Senior Construction Defect Claims Specialist to focus primarily on handling a growing... ...claims, involving significant size and/or complexity. Responsible for conducting thorough investigations...SeniorFull timePart timeSeasonal workWork at officeRemote work- Senior Claim Specialist Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America)... ...place. Key Responsibilities Handle a portfolio of moderately complex property and casualty claims from intake to resolution. Conduct...SeniorRemote jobFull timeTemporary workWork at officeShift workDay shift
- This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise. Great... ...Claims Examiner - Liability with proven expertise in handling complex liability claims to join our team! Licensing is required....SeniorFull timeWork from home
$18.07 - $33.92 per hour
...Summary This position includes a variety of claim administrative and technical tasks that... ...processing procedures. Life & Disability - Sr Claims Analyst Secure and analyze claim... ...skills Ability to effectively handle with complex situations and reach resolution Ability to...SeniorFlexible hoursShift work$58k - $69k
...just a goal - it’s what we do, one conversation at a time. The Opportunity The Senior LTD Claim Specialist is responsible for independently evaluating and managing moderately complex long-term disability claims within MetLife’s U.S. Long-Term Disability organization....SeniorTemporary workLocal areaWorldwide- CRC Group seeks a Senior Claim Specialist in the United States to manage a portfolio of moderately complex property and casualty claims from intake to resolution. You will conduct investigations, review policy coverage, analyze facts, and negotiate settlements within authority...Senior
$80k - $85k
...developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected... ...arbitrations, mediations, depositions, or trials. Conveys moderately complex information regarding coverage and settlements to insureds,...SeniorRemote jobFull timePart timeSeasonal workLive outWork at officeLocal area$18.5 - $42.35 per hour
...at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines... ...Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise....SeniorRemote jobHourly payFull timeWork experience placementLocal area- CVS Health in Idaho is seeking a Claims Adjudication specialist who reviews and adjudicates complex medical claims under established guidelines. You will act as SME by coaching colleagues and guiding escalated issues, supporting customer service to ensure a positive member...SeniorRemote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Sr. Complex Claims Specialist. Be the first to apply!
- claims assistant New York, NY
- claim examiner New York, NY
- general liability claims adjuster New York, NY
- medical claims analyst New York, NY
- remote medical claims processor New York, NY
- senior claims specialist New York, NY
- claims assistant workers compensation New York, NY
- medical insurance claims specialist New York, NY
- claims analyst New York, NY
- claims processor New York, NY


