Complex Claims and Coverage Technical Specialist

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

Our collaborative 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 youre wired to raise your hand and ask Where can I help youll thrive with us.

At Argo Group you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams.

Argo Group a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market offers a comprehensive line of highquality products and services designed to meet the unique coverage and claimshandling 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 New York City Omaha Richmond or San Antonio 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.

How You Will Make an Impact:

• Working with limited oversight under broad management direction adjudicate highly complex claims and insurance coverage disputes 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 pretrail 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.

What We Need:

• J.D. from an accredited law school.
• A deep knowledge of claims adjudication typically achieved through a minimum of five years experience adjudicating claims and/or insurance coverage disputes with exposure of $100000 or more.
• At least five years experience handling insurance coverage issues and disputes including under the following policy types: Commercial General Liability Garage Inland Marine Excess Property and Environmental.
• 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.
• Desire to work in a fastpaced environment.
• 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.
• Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
• Proficient in MS Office Suite and other businessrelated 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 selfdevelopment 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 all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

New York City metro area Pay Range:

$185900 $223100

Chicago metro area Pay Range:

$170300 $204300

Physical Demands

Unless otherwise specified below as an essential function of the job this role generally operates within a standard office environment (onsite or hybrid); requiring the use of a PC and other related office equipment.

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.

How We Work Our Employee Values

Employees at Argothrive togetheras a responsible profitable specialty insurer where all stakeholders share in our success.

We are committed to:

• Demonstrate entrepreneurial spirit:
• Get the job done in a nonbureaucratic resourceful manner.
• Create a culture of accountability ensuring the delivery of worldclass products and services.
• Do the right thing:
• Act with integrity always.
• Adhere to the commitments set forth in the Argo Group Environmental Social and Governance program.
• Collaborate:
• Create an open and transparent environment in which diverse experience skill sets and individuals can team together to drive optimal outcomes.
• Encourage and include unique perspectives at all times.
• Respect each other:
• Create an environment that promotes dialogue mutual support and cooperation between and among all where people are fun to be around proud of what they do and willing to achieve beyond normal expectations.

PLEASE NOTE: At this time Argo Group will not sponsor an applicant for employment authorization for this position.

If you have a disability under the Americans with Disabilities Act or a similar law and you wish to discuss potential accommodations related to applying for employment at Argo Group please contact our Benefits Department at.

To all recruitment agencies: Unless you have been requested to work on this position or other positions with Argo Group please do not forward any resumes to Argo Group employees. Argo Group is not responsible for any fees related to unsolicited resumes.

Argo Group International Holdings Inc. (Argo or the Company) is a wholly owned subsidiary of Brookfield Wealth Solutions Ltd. (BWS) a New York and Torontolisted public company. Argo with over $8 billion of assets on its balance sheet is a leading underwriter of specialty insurance products in the property and casualty (P&C) market working with independent agents wholesale brokers and retail brokerage partners to deliver collaborative solutions for niche markets.

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. BWS is backed by Brookfield Corporation a leading global investment firm whose asset management business manages more than $1 trillion in assets as of September 30 2024.

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

Our Benefits

Developing our employees professionally and personally strengthens our organization.
Argo Group offers an attractive Total Rewards package that includes:

• A culture that recognizes performance and empowers employees to excel offering competitive compensation and merit driven profit sharing.
  
  
• Workplace policies that support employee wellbeing include flex time and floating holidays.
  
  
• Comprehensive health wellness and financial planning options that employees can tailor to meet their personal and family needs. In addition to traditional health and wellness plans benefits include dental disability life insurance medical and vision insurance matching 401(k) retirement savings generous paid time off 21 days of PTO 11 paid company holidays 3 floating holidays and a paid voluntary day) paid caregiver and parental leave paid bereavement jury duty/court appearances and military (up to 14 days) leave employee assistance program (EAP) and an array of voluntary benefits.
  
  
• Argo Academy a digital and instructorled platform that offers continuous learning and professional development Trainingmagazine lists Argo among the Training Top 125 Companies. Argo encourages career mobility and continuing education to pursue and maintain professional and industry designations in addition to traditional university and higher education programs.
  
  
• An inclusive culture that develops and sponsors diverse teams encourages crossfunctional engagement and collaboration builds community through employee resource groups (ERGs) and provides an environment that welcomes ongoing dialogue creative innovation professional and personal development.
  
  
• Active community outreach and volunteer programs.
  
  
• A generous Employee Referral program that results in approximately 25 of all new hires annually.