Full-Time

Complex Claims Technical Specialist

Confirmed live in the last 24 hours

Argo Group

Argo Group

1,001-5,000 employees

Specialized insurance solutions for unique risks

Social Impact
Financial Services

Compensation Overview

$181.5k - $199.5kAnnually

+ Annual Bonus

Senior

No H1B Sponsorship

New York, NY, USA

Category
Legal
Legal & Compliance
Requirements
  • J.D. from an accredited law school.
  • A deep knowledge of claims adjudication is typically achieved through a minimum of seven years’ experience adjudicating claims with exposure of $100,000 or more.
  • Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that are difficult and require an understanding of a broader set of issues.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Exhibit natural curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
  • Desire to work in a fast-paced environment.
  • Excellent evaluation and strategic skills required.
  • Strong claim negotiation skills a must.
  • Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate.
  • Must possess a strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Demonstrates innovative thinking and regularly shares ideas to help the team whenever possible.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients’ business which may include CEO.
  • Demonstrates inner strength.  Has the courage to do the right thing and demonstrates it on a daily basis.
  • Intellectual curiosity.  Consistently considers all options and is not governed by conventional thinking.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills in order to present information accurately and effectively.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
  • Licensed Claims Examiner (Based on state) Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 Days.
Responsibilities
  • Working with limited oversight under broad management direction, adjudicate highly complex claims, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results.
  • Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
  • Oversee defense panelist, including monitoring and evaluating operations and performance.
  • Conduct file reviews to ensure accuracy, attend mediations and settlements, and participate in pre-trail calls as necessary.
  • Provide technical guidance in properly setting claim reserves.
  • Reporting to senior management and underwriters on claims trends and developments.
  • Investigating claims promptly and thoroughly.
  • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
  • Investigating claims promptly and thoroughly, including interviewing all involved parties.
  • Managing claims in litigation.
  • Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
  • Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
  • Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
  • Preparing reports for file documentation.
  • Applying creative solutions which result in the best financial outcome.
  • Negotiates highly complex settlement packages, sets reserves and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
  • Processing mail and prioritizing workload.
  • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Argo Group operates in the specialty insurance market, providing customized insurance solutions for businesses and individuals facing unique or complex risks. The company focuses on industries with higher risk profiles, such as construction, marine, and energy, allowing it to offer expert risk assessment and management services. Argo generates revenue through premiums paid by policyholders, which are then invested to create additional income. This approach, combined with effective claims management, helps maintain profitability. Argo distinguishes itself from competitors by its commitment to corporate responsibility, community engagement, and fostering an inclusive workplace that supports personal and professional growth. The company's goal is to ensure mutual success for its clients while actively participating in initiatives related to diversity, sustainability, and disaster relief.

Company Stage

IPO

Total Funding

$17.9M

Headquarters

Pembroke, Bermuda

Founded

1996

Simplify Jobs

Simplify's Take

What believers are saying

  • Digital transformation in insurance boosts demand for Argo Interactive's mobile services.
  • Parametric insurance products offer Argo innovation opportunities in specialty insurance.
  • AI in underwriting enhances Argo's risk assessment and operational efficiency.

What critics are saying

  • Leadership changes may cause strategic instability post-Brookfield acquisition.
  • Talent drain impacts operations, as seen with departures to competitors.
  • Niche market focus exposes Argo to industry-specific risks and liabilities.

What makes Argo Group unique

  • Argo specializes in niche markets like construction, marine, and energy sectors.
  • The company offers tailored insurance solutions for complex and unique risks.
  • Argo is committed to corporate responsibility and community engagement.

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