Senior Technical Claims Specialist

Argo Group; Chicago (IL); On-site; USD 174,000 - 208,000; Full time

Job summary

Argo Group in Chicago seeks a Senior Complex Claims Technical Specialist to adjudicate highly complex claims and coverage disputes. This role can be filled in Omaha, Chicago, Los Angeles, Albany, New York City, or Richmond and requires on-site work five days a week to strengthen culture and profitability.

The position reports to SVP, Claims Legal in Chicago and involves technical guidance on reserves, settlements, and claim trends across the US. A JD and strong communication skills are essential.

Qualifications

• Seven+ years handling insurance coverage issues and disputes (Professional Liability).
• J.D. from an accredited law school.
• Strong business acumen and profitability impact.
• Excellent communication and relationship-building.

Responsibilities

• Adjudicate highly complex claims and coverage disputes for professional liability.
• Conduct information gathering, analysis and investigation to resolve issues.
• Oversee defense panelist and monitor performance.
• Prepare reports and set claim reserves.
• Negotiate settlements and authorize payments within authority.

Skills

Communication skills

Customer focus

MS Office

Licensed examiner

Education

J.D. from accredited law school

Tools

MS Office Suite

Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

Business Title(s): Senior Complex Claims Technical Specialist

Employment Type: Full-Time

FLSA Status: Exempt

Location: In Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.

Summary

We are looking for a highly capable Senior Complex Claims Technical Specialist to join our team and work in our Omaha office. Alternatively, this role can be filled in our Chicago, Los Angeles, Albany, New York City, or Richmond offices. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. This role will directly report to the SVP, Claims Legal based in Chicago and is responsible for providing technical support on insurance coverage disputes and major cases in litigation assigned to Adjusters throughout the US.

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities

• Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, 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.

Qualifications / Experience Required

• A deep knowledge of claims adjudication and focus on customer service typically achieved through:
• At least seven years’ experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims. Experience adjudicating claims under the following policy types is strongly preferred: Commercial General Liability, Garage, Inland Marine, Excess, Property, and Environmental.
• A J.D. from an accredited law school
• 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.
• 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.
• 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.
• 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.
• 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

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, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

• Richmond Pay Range: $157,998 - $189,516
• Albany and Chicago Pay Range: $173,706 - $208,386
• Los Angeles and New York City Pay Range: $189,618 - $227,562

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.

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.

Core Values

At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we aspire to be - guiding how we work, how we lead and how we succeed.