Full-Time

Complex Claims and Coverage Technical Specialist

Confirmed live in the last 24 hours

Argo Group

Argo Group

1,001-5,000 employees

Specialized insurance solutions for unique risks

Compensation Overview

$170.3k - $223.1kAnnually

+ Annual Bonus

Senior

No H1B Sponsorship

San Antonio, TX, USA

The job requires in-office attendance five days a week.

Category
Insurance
Risk Management
Finance & Banking
Requirements
  • J.D. from an accredited law school.
  • A deep knowledge of claims adjudication typically achieved through a minimum of five years’ experience adjudicating claims and/or insurance coverage disputes with exposure of $100,000 or more.
  • At least five years’ experience handling insurance coverage issues and disputes, including under the following policy types: Commercial General Liability, Garage, Inland Marine, Excess, Property, and Environmental.
  • 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 be willing 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 and insurance coverage disputes, 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 insurance coverage issues and claims trends and developments.
  • Investigating insurance coverage issues and 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 with unique or complex risks. The company focuses on industries with higher risk profiles, such as construction, marine, and energy, where standard insurance policies may not suffice. Argo generates revenue through premiums paid by policyholders, which are then invested to create additional income. This approach, combined with effective risk management and claims handling, allows Argo to maintain profitability. Unlike many competitors, Argo emphasizes corporate responsibility and community engagement, fostering long-term relationships with clients and partners. The company's goal is to deliver expert risk assessment and management services while promoting an inclusive workplace and participating in initiatives related to sustainability and disaster relief.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

Pembroke, Bermuda

Founded

1996

Simplify Jobs

Simplify's Take

What believers are saying

  • Growing demand for digital insurance platforms aligns with Argo Interactive's expertise.
  • Parametric insurance products offer Argo Limited expansion opportunities in niche markets.
  • AI integration in claims processing can enhance Argo Limited's efficiency.

What critics are saying

  • Key personnel departures may impact Argo's competitive edge in specialized markets.
  • Integration challenges post-acquisition by Brookfield Reinsurance could affect operations.
  • Leadership changes might lead to strategic realignments misaligned with client expectations.

What makes Argo Group unique

  • Argo Limited focuses on niche markets with specialized insurance products.
  • The company emphasizes corporate responsibility and community engagement.
  • Argo Interactive specializes in user experience optimization for mobile services.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Company Match

Unlimited Paid Time Off

Flexible Work Hours

Paid Vacation

Paid Sick Leave

Paid Holidays

Paid Caregiver Leave

Paid Parental Leave

Paid Bereavement Leave

Military Leave

Employee Assistance Program (EAP)

Wellness Program

Employee Referral Bonus

Company News

Stock Titan
Feb 19th, 2025
Willis appoints Helen Campbell Head of Property Wordings in North America

Campbell joins from Argo Group, where she served as Senior Vice President and Head of Contract Wordings.

The Royal Gazette
Oct 16th, 2024
Kevin Madigan joins Argo Group

Bermuda market veteran Kevin Madigan has been appointed as head of Capital Management at Argo Group.

Earnix
Oct 9th, 2024
Earnix Appoints US Insurance Leader Jessica Buss to its Board of Directors

Jessica Buss joined Argo Group in August 2022 as Chief Executive Officer, where she is responsible for setting the strategic direction for the company and managing its overall operations.

Intelligent Insurer
Apr 19th, 2024
AXIS Capital nabs talent from Argo Pro to lead its E&O offer in the US

Morley brings over 35 years of experience in professional liability underwriting and leadership and joins from Argo Pro where she served as senior vice president, miscellaneous professional liability and architects & engineers liability.

Business Insurance
Apr 10th, 2024
Argo hires former Markel exec for inland marine role

Argo Group International Holdings Ltd. on Wednesday named former Markel Corp. executive Julie Saunders senior vice president, head of inland marine.