Triage Specialist

Argonaut Management Services, Inc; Omaha (NE); On-site; USD 51,000 - 64,000; Full time

Benefits offered by this job

Health, dental, vision

401(k) with company match

Paid time off

Job summary

Argo Group in Omaha is seeking a Triage Specialist to join our claims team. The role runs 6:00am–3:00pm CT with an hour break and is 100% in-office, with potential transfers to Richmond, VA or Albany, NY.

You will set up and assign new workers' compensation claims, support adjusters, and help improve data capture and decision making. Experience with insurance and strong communication are essential; overtime may be required.

Qualifications

• One year insurance experience required.
• Strong English written and spoken communication.
• Ability to manage multiple tasks and deadlines.
• Experience with claims processing and documentation.
• Bilingual Spanish is a plus but not required.

Responsibilities

• Provide clerical support to claims adjusters for intake and assignment.
• Update claims in database and contact brokers as needed.
• Screen incoming calls and route appropriately.
• Prepare written correspondence.
• Print and mail checks; file documents.
• Determine coverage and adjuster assignment.
• Investigate claims by contacting claimants.
• Record hours worked and submit timesheets.
• Overtime may be required.

Skills

Insurance experience

Customer service

English fluency

Time management

Communication

Team collaboration

MS Excel

Education

High school diploma or equivalent

Vocational/technical education

Bachelor's degree preferred

Tools

Guidewire

ClaimsCenter

LLM prompt design

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):

Triage Specialist

Employment Type:

Full-Time

FLSA Status:

Non-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 Triage Specialist to join our team in Omaha and work 6:00am - 3:00pm CT with an hour meal break. Alternatively, we can fill this role in Richmond, VA or Albany, NY. The position works to diligently and quickly set up and assign new claims as our customers report them. This role is well positioned to move into Claims Trainee positions when they become available to grow their professional career in the insurance industry.We are in the process of enhancing our data capture capabilities in order to improve operational efficiency, strengthen our process governance, and enable more data driven decision making. We intend to implement a Large Language Model (LLM) that will transform the way the Triage Team performs its work. This is an ideal opportunity for candidates with experience or interest in hands‑on AI implementation to modernize operations.

Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

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

• Under technicaldirection and within standard limits and authority provide clerical support to claims adjusters to facilitate timely and accurate intake and assignment of mostly workers' compensation claims.
• Update new and existing claims in claims database and contact brokers as needed.
• Screen all incoming phone calls, assess and assign out to proper party.
• Prepare written correspondence
• Print attached backup documentation/invoice and mail checks.
• Electronic and paper filing as needed.
• Determining coverage and adjuster assignment.
• Investigating the claim - this requires calling the claimant, insured
• Processing mail and prioritizing workload.
• Technical information gathering through ordering reports, contacting police departments for vehicle/ equipment recovery.
• Responsible for telephone calls from various parties (insured, claimant, etc.).
• Have an appreciation and passion for strong claim management.

Qualifications / Experience Required

• Knowledge of Service Center policies and guidelines, as well as an exceptional Customer Service focus obtained through:
  • One year insurance experience (required). General knowledge of commercial insurance required.
  • A high school diploma (or equivalent) and 3 years' prior relevant work experience; or
  • A vocational or technical education with at least one year of relevant work experience.
  • Bachelor's degree from an accredited university is strongly preferred.
  • Experience working with Guidewire and/or ClaimsCenter strongly preferred, but not required.
  • Experience creating structured and clear prompts deliver accurate and reliable results from a LLM is preferred but not required.
• The ability to communicate clearly on the telephone is crucial. The ability to read and write English fluently is required. The ability to read and write Spanish fluently is strongly preferred but not required.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• A strong sense of accountability and pride in completing an excellent work product.
• An eagerness and desire to learn the Triage claims function with the intent of becoming a Claims Adjuster.
• Demonstrates active listening and proactive communication by listening first, and then preparing carefully before engaging in conversation to communicate well thought out feedback.
• Shows care and concern by expressing curiosity authentically, being self-aware, constantly engaging input from others, and collaborating with ease.
• Ability to be a team player that communicates and collaborates with peers to achieve common goals in a team environment.
• Intellectual curiosity - the ability to consistently consider all options and is not governed by conventional thinking.
• Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
• Strong interpersonal skills, good judgment and be capable of communicating with a diverse range of individuals.
• 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
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
• Detail oriented with initiative.
• 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 analytical skills.
• Proficient in the use of computer programs, including Word, Excel, and Outlook.

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: $24.32 per hour - $28.00 per hour ($50,592.00 annualized -$58,242 annualized)
• Albany Pay Range: $29.29 - $30.80 per hour ($55,386 annualized- $64,056annualized)

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.