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Senior Technical Claims Specialist
Senior Technical Claims SpecialistArgonaut Management Services, Inc • New York, NY, United States
Senior Technical Claims Specialist

Senior Technical Claims Specialist

Argonaut Management Services, Inc • New York, NY, United States
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  • [job_card.full_time]
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Argo Group International Holdings, Inc . and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Job Description

A Brief Overview

We are looking for a highly capableSenior Technical Claims Specialistto join our teamand work from any of our offices.We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.The position reports to a manager based in Los Angeles and is focused on adjudicating commercial General Liability Bodily Injuryclaims contribute to providing superb results for our clients.

The primary duties and responsibilities of the role are :

  • Working with limited oversight under broad management direction, adjudicate highly complexGeneral Liability and Excess Bodily Injury Claimsclaims, at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
  • Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
  • Reporting to claims management and underwriters on claims trends and developments.
  • Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
  • 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.
  • Creates and reviews reserves in line with market and Argo's reserving policy
  • 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.
  • Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
  • 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.

Core qualifications and requirements for this position include :

  • A deep knowledge of General Liability Bodily Injury claims typically obtained through :
  • A minimum of seven years' experience adjudicating commercial General Liability Bodily Injury claims with exposures of $100,000 or more.

  • Bachelor's degree from an accredited university required. J.D. Preferred but not required. Two or more insurance designations or four additional years of related experience adjudicating commercial bodily injury claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate claims. within 120 Days.
  • 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 generalized and typically not complex, but require an understanding of a broader set of issues.
  • A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by :
  • Finding a way to achieve success through adversity.

  • Being solution (not problem) focused
  • Thinking with a global mindset first.
  • Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
  • Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.
  • Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Exhibit natural and intellectual 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. Ability to take proactive and pragmatic approach to negotiation.
  • Must possess a strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Must demonstrate the ability to exercise sound judgment working under technical direction.
  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
  • Proficient in MS Office Suite and other business-related software.
  • Uses listening and questioning techniques to effectively gather information from insureds and claimants
  • Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
  • Ability to effectively network, build and maintain relationships, and establish appropriate visibility with business partner
  • 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.
  • The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Albany and Chicago Pay Range : $148,100 - $177,700
  • New York City and Los Angeles Pay Range : $161,8000 - $194,200
  • About Working in Claims at Argo Group

    Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.

    Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.

    We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.

    Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.

    We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

    PLEASE NOTE :

    Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

    If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

    Notice to Recruitment Agencies :

    Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

    We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

    The collection of your personal information is subject to our HR Privacy Notice

    Benefits and Compensation

    We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

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