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Argo Group

Underwrites specialty insurance and risk management

Claims Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeOmaha, NE, USAIn-person

About the Job

Requirements

  • A bachelor's degree from an accredited university is required; two or more insurance designations or four additional years of related claims-adjudication experience beyond the minimum may be substituted for the degree.
  • At least one year of experience adjudicating claims is required.
  • Must be able to obtain necessary state licenses and maintain continuing education requirements as needed.
  • Must have business acumen, including understanding how an insurance company operates and makes money and how the role affects profitability for the company and its customers.
  • Must be able to exercise discretion and independent judgment on significant matters and handle generally non-complex problems requiring a broader understanding of issues.
  • Must demonstrate execution and results delivery, including persistence through adversity, solution focus, and a global mindset.
  • Must be able to determine client needs and provide value-added solutions.
  • Must be able to work effectively in a changing, fast-paced environment and be resourceful and flexible.
  • Must be able to develop and maintain productive relationships with clients, business partners, and peers through timely and meaningful information exchanges.
  • Must have strong communication skills and be able to build lasting relationships.
  • Must have effective time-management and workload-prioritization skills while handling multiple tasks and deadlines.
  • Must demonstrate curiosity and consider available options beyond conventional approaches.
  • Must have strong evaluation and strategic skills.
  • Must have strong claim negotiation skills and take a proactive, pragmatic approach to negotiation.
  • Must understand mechanisms for resolving claims-settlement disputes, including arbitration and mediation, and when to use them.
  • Must exercise sound judgment while working under technical direction.
  • Must be proficient in Microsoft Office Suite and other business-related software.
  • Must use listening and questioning techniques to gather information from insureds and claimants.
  • Must have polished, professional written and verbal communication skills and present information clearly, concisely, and accurately.
  • Must be able to read and write English fluently.
  • Must pursue continued professional development through continuing education and self-development opportunities.
  • Applicants must be legally authorized to work in the United States; the employer cannot sponsor or assume sponsorship of employment visas.

Responsibilities

  • Adjudicate moderate to serious first-party property and physical-damage claims under moderate supervision and within specified limits and authority, following applicable state mandates and contributing to team results.
  • Provide customer service and claims outcomes to clients and develop lasting relationships with insureds and brokers.
  • Analyze claim forms, policies, endorsements, client instructions, and other records to determine whether losses are covered.
  • Investigate claims promptly and thoroughly, including interviewing involved parties to determine the facts of each loss.
  • Maintain claim diaries and complete tasks promptly to support favorable financial outcomes and timely resolutions.
  • Create and review reserves in accordance with market practices and the company's reserving policy.
  • Determine appropriate inspection or fact-review methods and identify, assign, and coordinate experts and other resources to assist with case resolution.
  • Ensure compliance with state regulations and requirements.
  • Settle straightforward claims within authority limits and follow organizational referral procedures.
  • Negotiate timely and effectively within assigned limits, using different negotiation styles to provide cost-effective solutions for the company and its customers.
  • Prepare reports for claim-file documentation.
  • Report claim trends and developments to claims management and underwriters.
  • Process mail and prioritize workload.
  • Complete telephone calls and written correspondence with insureds, claimants, and other parties.
  • Investigate, evaluate, negotiate, and settle property claims, including assessing coverage, contacting customers, arranging inspections and experts, gathering information, evaluating claim complexity, and finalizing settlements.
  • Work with other departments, vendors, and defense counsel throughout the claim process as needed.
  • Understand and comply with applicable insurance regulations, statutes, and case law.

Desired Qualifications

  • Working knowledge of Guidewire ClaimsCenter is strongly preferred.
  • Insurance designations such as AIC, AINS, FCLS, or PCLS are preferred.

About the Company

Argo Group

Underwrites specialty insurance and risk management

Argo Limited provides specialty insurance and risk management for clients with complex risks in niches like construction, marine, and energy. It underwrites policies, handles claims, and uses premium investments to earn returns. It differentiates itself by focusing on niche markets and expert risk assessment rather than standard policies. Its goal is to build long-term client relationships while maintaining steady profitability through underwriting margins and invested premiums, with a commitment to corporate responsibility and community engagement.

Company size
1,001-5,000
Company stage
IPO
Headquarters
Pembroke, Bermuda
Founded
1996

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