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Senior Claims Adjuster
2 months ago
We are seeking a highly skilled and experienced Senior Claims Adjuster to join our team at Argo Group. As a Senior Claims Adjuster, you will be responsible for adjudicating complex claims, including those related to New York Labor Law.
Key Responsibilities- Adjudicate highly complex claims, potentially with a significant impact on departmental results.
- Solve difficult problems that require an understanding of a broader set of issues.
- Report to senior management and underwriters on claims trends and developments.
- Analyze claims forms, policies, and endorsements to determine whether the loss falls within the policy coverage.
- Investigate claims promptly and thoroughly, including interviewing all involved parties.
- Manage claims in litigation.
- Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
- Properly set claim reserves, taking into account how different policy wordings impact the claims reserving process.
- Identify, assign, and coordinate the assignment and coordination of expertise resources to assist in case resolution.
- Prepare reports for file documentation.
- Apply creative solutions that result in the best financial outcome.
- Negotiate settlements.
- Process mail and prioritize workload.
- Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
- Bachelor's degree from an accredited university required. Juris Doctor from an accredited law school is strongly preferred.
- A specialized knowledge typically achieved through a minimum of five years' experience adjudicating commercial general liability claims with a focus on New York Labor Law.
- 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 and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
- Desire to work in a fast-paced 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.
- 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 be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days
- 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 are committed to demonstrating entrepreneurial spirit: Get the job done in a non-bureaucratic, resourceful manner.
- We act with integrity always and adhere to the commitments set forth in the Argo Group Environmental, Social and Governance program.
- We create an open and transparent environment in which diverse experience, skill sets, and individuals can team together to drive optimal outcomes.
- We respect each other and 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.
