Arch Insurance Group Inc.
Claims Compliance Analyst
Arch Insurance Group Inc., Jersey City, New Jersey, United States, 07390
Join to apply for the
Claims Compliance Analyst
role at
Arch Insurance Group Inc.
Arch Insurance Group Inc. provided pay range This range is provided by Arch Insurance Group Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $71,900.00/yr - $97,110.00/yr
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 Overview The Shared Services Team is seeking a new team member who thrives in a highly collaborative team-oriented environment. The Claims Compliance Analyst will report directly to the Vice President of Claims Compliance. The position requires supporting the Claims organization with all facets of general compliance requirements, including reconciling, regulatory reporting and responding to compliance related inquiries.
Responsibilities Audit Coordination
Serve as an initial contact and assist with the coordination of Claims Audits that are conducted by the various State DOIs. Will serve as primary intermediary between the business, handling entity, and the State Departments.
Receive and interpret preliminary audit requests by the State Departments. Analyze and assess audit reports that are issued by the State Departments to identify performance issues. Communicate the results to Arch Claims Senior Leadership TPA Corporate Contacts (if applicable).
Assist with the review of state report cards and metrics on claims processing and reporting and work with TPAs and Arch staff to remediate any issues.
Regulatory Reporting
Gather data from TPAs and/or Arch data reports to prepare Compliance managed regulatory reports and data calls. Timely submit state specific annual/quarterly reports where required.
Review and analyze Claims Bulletins related to Regulatory Reports, communicate internally and/or to the TPAs as needed, and monitor implementation of new requirements where appropriate.
Assist with Electronic Data Interchange (EDI) reporting.
Other Compliance Activities
Support maintenance of compliance library and claims correspondence.
Provide compliance support for Medicare Reporting.
Assist with internal audit and regulatory reviews.
Other ad hoc compliance related tasks, as needed.
Experience and Required Skills
General P&C claims knowledge, adjusting experience preferred.
Efficient organization and project management skills.
Familiarity with the suite of Microsoft products such as Excel, Word, PowerPoint, etc.
Ability to effectively communicate ideas, issues and solutions.
Education
Bachelor's degree required.
2 + years Commercial Lines Claims Experience.
Ability to communicate effectively with internal and external business partners as well as state regulatory authorities.
Familiarity with Medicare Secondary Payer (MSP) and Section 111 Reporting.
For Colorado Applicants – the deadline to submit your application is: November 25, 2025.
#J-18808-Ljbffr
Claims Compliance Analyst
role at
Arch Insurance Group Inc.
Arch Insurance Group Inc. provided pay range This range is provided by Arch Insurance Group Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $71,900.00/yr - $97,110.00/yr
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 Overview The Shared Services Team is seeking a new team member who thrives in a highly collaborative team-oriented environment. The Claims Compliance Analyst will report directly to the Vice President of Claims Compliance. The position requires supporting the Claims organization with all facets of general compliance requirements, including reconciling, regulatory reporting and responding to compliance related inquiries.
Responsibilities Audit Coordination
Serve as an initial contact and assist with the coordination of Claims Audits that are conducted by the various State DOIs. Will serve as primary intermediary between the business, handling entity, and the State Departments.
Receive and interpret preliminary audit requests by the State Departments. Analyze and assess audit reports that are issued by the State Departments to identify performance issues. Communicate the results to Arch Claims Senior Leadership TPA Corporate Contacts (if applicable).
Assist with the review of state report cards and metrics on claims processing and reporting and work with TPAs and Arch staff to remediate any issues.
Regulatory Reporting
Gather data from TPAs and/or Arch data reports to prepare Compliance managed regulatory reports and data calls. Timely submit state specific annual/quarterly reports where required.
Review and analyze Claims Bulletins related to Regulatory Reports, communicate internally and/or to the TPAs as needed, and monitor implementation of new requirements where appropriate.
Assist with Electronic Data Interchange (EDI) reporting.
Other Compliance Activities
Support maintenance of compliance library and claims correspondence.
Provide compliance support for Medicare Reporting.
Assist with internal audit and regulatory reviews.
Other ad hoc compliance related tasks, as needed.
Experience and Required Skills
General P&C claims knowledge, adjusting experience preferred.
Efficient organization and project management skills.
Familiarity with the suite of Microsoft products such as Excel, Word, PowerPoint, etc.
Ability to effectively communicate ideas, issues and solutions.
Education
Bachelor's degree required.
2 + years Commercial Lines Claims Experience.
Ability to communicate effectively with internal and external business partners as well as state regulatory authorities.
Familiarity with Medicare Secondary Payer (MSP) and Section 111 Reporting.
For Colorado Applicants – the deadline to submit your application is: November 25, 2025.
#J-18808-Ljbffr