Arch Insurance Group Inc.
Compliance Analyst – Arch Insurance Group Inc.
Base Pay Range:
$71,900.00/yr - $97,110.00/yr
With a 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. 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 role supports the Claims organization with all facets of general compliance requirements, including audits, regulatory reporting, and responding to compliance-related inquiries.
Responsibilities
Serve as an initial contact and assist with the coordination of Claims Audits conducted by the various State DOIs; act as primary intermediary between the business, handling entity, and State Departments.
Receive and interpret preliminary audit requests from State Departments; analyze and assess audit reports issued by State Departments to identify performance issues and communicate results to Arch Claims Senior Leadership, TPA corporate contacts, if applicable.
Assist with review of state report cards and metrics on claims processing and reporting; work with TPAs and Arch staff to remediate any issues.
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.
Support maintenance of compliance library and claims correspondence.
Provide compliance support for Medicare reporting.
Assist with internal audit and regulatory reviews.
Perform 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 Microsoft Office 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 and state regulatory authorities.
Familiarity with Medicare Secondary Payer (MSP) and Section 111 Reporting.
Benefits
Comprehensive benefits package: multiple medical plans, dental, vision, prescription drug coverage, 401(k) with generous matching, PTO starting at 20 days per year, up to 12 paid company holidays, 2 paid days Volunteer Time Off, basic Life & AD&D, Short & Long‑Term Disability, Paid Parental Leave up to 10 weeks, Student Loan Assistance, Tuition Reimbursement, Backup Child & Elder Care, and more.
For Colorado applicants, the deadline to submit your application is: November 25, 2025.
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$71,900.00/yr - $97,110.00/yr
With a 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. 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 role supports the Claims organization with all facets of general compliance requirements, including audits, regulatory reporting, and responding to compliance-related inquiries.
Responsibilities
Serve as an initial contact and assist with the coordination of Claims Audits conducted by the various State DOIs; act as primary intermediary between the business, handling entity, and State Departments.
Receive and interpret preliminary audit requests from State Departments; analyze and assess audit reports issued by State Departments to identify performance issues and communicate results to Arch Claims Senior Leadership, TPA corporate contacts, if applicable.
Assist with review of state report cards and metrics on claims processing and reporting; work with TPAs and Arch staff to remediate any issues.
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.
Support maintenance of compliance library and claims correspondence.
Provide compliance support for Medicare reporting.
Assist with internal audit and regulatory reviews.
Perform 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 Microsoft Office 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 and state regulatory authorities.
Familiarity with Medicare Secondary Payer (MSP) and Section 111 Reporting.
Benefits
Comprehensive benefits package: multiple medical plans, dental, vision, prescription drug coverage, 401(k) with generous matching, PTO starting at 20 days per year, up to 12 paid company holidays, 2 paid days Volunteer Time Off, basic Life & AD&D, Short & Long‑Term Disability, Paid Parental Leave up to 10 weeks, Student Loan Assistance, Tuition Reimbursement, Backup Child & Elder Care, and more.
For Colorado applicants, the deadline to submit your application is: November 25, 2025.
#J-18808-Ljbffr