Complex Claims Technical Specialist

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.  

Our flexible workplace is continuously evolving to ensure all employees feel: 

• Comfortable bringing their whole selves to work. 
• Confident that they will be treated respectfully. 
• Recognized for their performance and provided with equal opportunities to succeed. 

At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us. 

Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces diversity and design thinking, relies on innovation and agility, promotes collaborative service delivery, frequent, integrated communication, and authentic recognition of excellence. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.

A Brief Overview

We are looking for a highly capable Complex Claims Technical Specialist to join our team and work in our Chicago or New York City offices. This role will directly report to the SVP, Claims Legal based in Chicago and is responsible for providing technical support on major cases in litigation assigned to Adjusters throughout the US.

How You Will Make an Impact:

• Working with limited oversight under broad management direction, adjudicate highly complex claims, 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 claims trends and developments.
• Investigating 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.

What We Need:

• J.D. from an accredited law school.
• A deep knowledge of claims adjudication is typically achieved through a minimum of seven years’ experience adjudicating claims with exposure of $100,000 or more.    
• 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