Senior Complex Claims Technical Specialist at Argo Group

Rockwood, Pennsylvania, United States

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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
Expertise in adjudicating highly complex claims and insurance coverage disputes at the highest authority limits
Proficiency in conducting detailed information gathering, analysis, and investigation for numerous and undefined issues
Capability to oversee defense panelists, including monitoring and evaluating operations and performance
Experience in conducting file reviews, attending mediations and settlements, and participating in pre-trial calls
Knowledge of properly setting claim reserves, considering different policy wordings
Ability to report to senior management and underwriters on insurance coverage issues, claims trends, and developments
Skills in investigating insurance coverage issues and claims promptly and thoroughly
Proficiency in analyzing claims forms, policies, endorsements, client instructions, and other records to determine policy coverage
Experience interviewing all involved parties in claims investigations
Expertise in managing claims in litigation
Ability to manage diary for timely and complete tasks to achieve best financial outcomes and resolutions
Skills in identifying, assigning, and coordinating expert resources for case resolution
Proficiency in preparing reports for file documentation
Ability to apply creative solutions for optimal financial outcomes
Experience negotiating highly complex settlement packages and setting reserves

Responsibilities

Adjudicate highly complex claims and insurance coverage disputes at the highest authority limits, reflecting high technical complexity and coordination in liability and litigated claims with potential major impact on 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 for 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 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

Key technologies and capabilities for this role

Claims HandlingSpecialty InsuranceProperty CasualtyReinsuranceUnderwriting

Questions & Answers

Common questions about this position

Is this a remote position or does it require office work?

This role requires working in the office five days a week in one of the specified locations: Chicago, Los Angeles, New York City, Omaha, Richmond, Rockwood, or San Antonio.

What is the salary for this Senior Complex Claims Technical Specialist position?

This information is not specified in the job description.

What key skills or responsibilities are required for this role?

The role requires adjudicating highly complex claims and coverage disputes with limited oversight, conducting detailed investigations and analysis, overseeing defense panelists, conducting file reviews, attending mediations, and providing technical guidance on reserves.

What is the company culture like at Argo Group?

Argo Group has a vibrant, inclusive culture built on respect, equality, wellness, and opportunity, emphasizing collaboration, innovation, agility, diversity, design thinking, and working together in the office to build team connections.

What kind of candidate thrives in this role at Argo Group?

Candidates with a growth mindset who are wired to raise their hand and ask 'Where can I help?', bring their unique perspective, and are highly capable in handling complex claims will thrive.

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.

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