Senior Complex Claims Technical Specialist at Argo Group

New York, New York, United States

Argo Group Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
InsuranceIndustries

Requirements

  • Ability to work with limited oversight under broad management direction
  • Capability to adjudicate highly complex claims and insurance coverage disputes at the highest authority limits
  • Experience handling assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims
  • Skills in detailed information gathering, analysis, and investigation to resolve numerous and undefined issues
  • Knowledge to oversee defense panelists, including monitoring and evaluating their operations and performance
  • Proficiency in conducting file reviews for accuracy, attending mediations and settlements, and participating in pre-trial calls
  • Expertise in providing technical guidance for properly setting claim reserves
  • Ability to report to senior management and underwriters on insurance coverage issues, claims trends, and developments
  • Competence in investigating insurance coverage issues and claims promptly and thoroughly
  • Skills in analyzing claims forms, policies, endorsements, client instructions, and other records to determine policy coverage
  • Experience interviewing all involved parties in claims investigations
  • Ability to manage claims in litigation
  • Proficiency in managing diary for timely and complete tasks to achieve best financial outcomes and resolutions
  • Knowledge of properly setting claim reserves considering different policy wordings
  • Skills in identifying, assigning, and coordinating expert resources for case resolution
  • Ability to prepare reports for file documentation
  • Capacity to apply creative solutions for optimal financial outcomes
  • Experience negotiating highly complex settlement packages

Responsibilities

  • Adjudicate highly complex claims and insurance coverage disputes at the highest authority limits on assignments with high technical complexity and coordination in liability and litigated claims, potentially impacting departmental results
  • Conduct detailed information gathering, analysis, and investigation to find solutions to numerous and undefined issues
  • Oversee defense panelists, including monitoring and evaluating operations and performance
  • Conduct file reviews to ensure accuracy, attend mediations and settlements, and participate in pre-trial calls as necessary
  • Provide technical guidance in properly setting claim reserves
  • Report to senior management and underwriters on insurance coverage issues, claims trends, and developments
  • Investigate insurance coverage issues and claims promptly and thoroughly
  • Analyze claims forms, policies, endorsements, client instructions, and other records to determine whether the loss falls within policy coverage
  • Investigate claims promptly and thoroughly, including interviewing all involved parties
  • Manage claims in litigation
  • Manage diary timely and complete tasks to ensure cases move to the best financial outcome and timely resolution
  • Properly set claim reserves, taking into account how different policy wordings impact the claims reserving process
  • Identify, assign, and coordinate expert resources to assist in case resolution
  • Prepare reports for file documentation
  • Apply creative solutions resulting in the best financial outcome
  • Negotiate highly complex settlement packages and set reserves

Skills

Claims Handling
Complex Claims
Property Casualty Insurance
Reinsurance
Coverage Analysis
Risk Assessment

Argo Group

Specialized insurance solutions for unique risks

About Argo Group

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. Unlike many competitors, Argo emphasizes corporate responsibility and community engagement, participating in initiatives related to diversity, environmental sustainability, and disaster relief. The company's goal is to foster long-term relationships with clients while promoting an inclusive workplace that supports personal and professional growth.

Pembroke, BermudaHeadquarters
1996Year Founded
$17.9MTotal Funding
IPOCompany Stage
Social Impact, Financial ServicesIndustries
1,001-5,000Employees

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

Risks

Leadership changes may lead to strategic instability post-Brookfield acquisition.
Talent drain, such as departures to competitors, could impact Argo's operations.
Brookfield's acquisition may shift company priorities and lead to restructuring.

Differentiation

Argo specializes in niche markets with unique risk profiles like construction and marine.
The company offers tailored insurance solutions not typically covered by standard policies.
Argo's commitment to corporate responsibility enhances its reputation and client relationships.

Upsides

Increased demand for digital insurance platforms aligns with Argo Interactive's mobile services.
The rise of parametric insurance products offers expansion opportunities in niche markets.
AI integration in underwriting improves risk assessment, benefiting Argo's specialty services.

Land your dream remote job 3x faster with AI