Job Title: Senior Complex Claims Technical Specialist
Job Responsibilities:
- Adjudicate highly complex claims and insurance coverage disputes with limited oversight, working under broad management direction. Handle assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially impacting departmental results significantly.
- Conduct detailed information gathering, analysis, and investigation to resolve numerous and undefined issues.
- Oversee defense panelists by monitoring and evaluating their 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 and report to senior management and underwriters on insurance coverage issues and claims trends.
- Investigate insurance coverage issues and claims promptly and thoroughly, including analyzing claims forms, policies and endorsements, client instructions, and other records to determine coverage.
- Manage claims in litigation, ensuring timely completion of tasks and best financial outcomes.
- Properly set claim reserves, considering policy wordings' impact on the claims reserving process.
- Identify, assign, and coordinate expertise resources to assist in case resolution and prepare reports for file documentation.
- Apply creative solutions for the best financial outcomes, negotiate highly complex settlement packages, set reserves, and authorize payments within the scope of authority.
- Handle mail processing, prioritize workload, complete telephone calls, and written correspondence.
- Demonstrate a strong passion for effective claim management.
Education and Experience Information:
- . from an accredited law school.
- A minimum of seven years’ experience in adjudicating claims and/or insurance coverage disputes with exposure of $100,000 or more.
- At least seven years of experience handling insurance coverage issues and disputes, including under policy types such as Commercial General Liability, Garage, Inland Marine, Excess, Property, and Environmental.
- Must possess good business acumen and understand the workings and profitability of an insurance company.
- Ability to regularly exercise discretion and independent judgment with respect to significant matters.
- Excellent communication skills and the ability to build lasting relationships.
- Natural curiosity to explore and consider all options, not governed by conventional thinking.
- Desire to work in a fast-paced environment with excellent evaluation, strategic, and claim negotiation skills.
- Knowledge of claims reserving techniques and assessment of claim reserve accuracy.
- Strong customer focus, effective time management, and ability to prioritize workload while handling multiple tasks and deadlines.
- Innovative thinking and the ability to articulate the financial value of work at multiple responsibility levels.
- Demonstrates inner strength and intellectual curiosity.
- Proficiency in MS Office Suite and other business-related software.
- Professional written and verbal communication skills.
- Ability to read and write English fluently.
- Desire for continued professional development through continuing education and self-development opportunities.
- Licensed Claims Examiner based on state requirements, with a willingness to quickly obtain a license in each jurisdiction requiring adjudication of first-party claims within 120 days.
Salary Information:
- New York City metro area pay range: $185,600 - $223,100.
- Chicago and Los Angeles metro area pay range: $170,300 - $204,300.
- In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance, along with a generous benefits package.
About Working in Claims at Company:
- Company does not treat claims or claims professionals as a commodity. The work is challenging, diverse, and impactful.
- Adjusters and Managers are empowered to exercise independent discretion and develop creative solutions within broad limits and authority.
- The organizational structure is flat, enabling more interaction with senior management, especially when reviewing large losses.
- The claims team works collaboratively to resolve claims expeditiously, fostering an innovative work environment open to employee suggestions and rewarding creative ideas.
- Company is committed to building an inclusive and diverse team, making the office a welcoming space for everyone and encouraging talented individuals from all backgrounds to apply.
How We Work - Our Employee Values:
- Employees thrive together as a responsible, profitable specialty insurer where all stakeholders share in success.
- Commitment to demonstrating entrepreneurial spirit by getting the job done in a non-bureaucratic, resourceful manner and creating a culture of accountability.
- Acting with integrity, adhering to commitments in the Environmental, Social, and Governance program.
- Fostering collaboration by creating an open and transparent environment for diverse experiences, skills, and individuals to drive optimal outcomes.
- Respecting each other by promoting dialogue, mutual support, and cooperation, making the workplace enjoyable and encouraging achievements beyond expectations.
Additional Information:
- Company will not sponsor applicants for employment authorization for this position.
- If a disability under the Americans with Disabilities Act or a similar law is present, potential accommodations related to applying for employment at Company can be discussed with the Benefits Department.
- Company is an Equal Opportunity Employer and does not discriminate based on age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship, denial of family and medical care leave, disability, race, religious creed, sex, sexual orientation, military or veteran status, or other protected status.
- The collection of personal information is subject to the HR Privacy Notice.
Our Benefits:
- Company offers a Total Rewards package that includes competitive compensation and merit-driven profit sharing.
- Workplace policies support employee well-being, including flex time and floating holidays.
- Comprehensive health, wellness, and financial planning options tailored to personal and family needs, including traditional health and wellness plans, dental, disability, life insurance, medical, and vision insurance.
- Matching 401(k) retirement savings, generous paid time off, paid caregiver and parental leave, paid bereavement, jury duty/court appearances, and military leave, employee assistance program, and voluntary benefits.
- Argo Academy offers continuous learning and professional development, encouraging career mobility and continuing education.
- An inclusive culture develops diverse teams, encourages cross-functional engagement, and provides an environment for ongoing dialogue, creative innovation, and professional development.
- Active community outreach and volunteer programs.
- A generous Employee Referral program contributing to approximately 25% of new hires annually.
