Senior Technical Claims Specialist
3 weeks ago
We are seeking a highly skilled Senior Technical Claims Specialist to join our team in New York City. As a key member of our claims team, you will be responsible for adjudicating complex claims under New York labor law.
Key Responsibilities- Adjudicate highly complex claims with limited oversight, exercising broad management direction and technical expertise.
- Conduct thorough information gathering, analysis, and investigation to find solutions to undefined issues.
- Report to senior management and underwriters on claims trends and developments.
- Investigate claims promptly and thoroughly, including interviewing all involved parties.
- Manage claims in litigation, ensuring timely and cost-effective resolution.
- Properly set claim reserves, taking into account policy wordings and their impact on the claims reserving process.
- Identify, assign, and coordinate expertise resources to assist in case resolution.
- Prepare reports for file documentation and apply creative solutions to achieve the best financial outcome.
- Negotiate highly complex settlement packages, setting reserves and authorizing payment within scope of authority.
- Juris Doctor from an accredited law school is required. Licensed attorney, in good standing in at least one state court in the United States.
- Deep knowledge of claims adjudication, typically achieved through a minimum of seven years' experience adjudicating claims with exposure of $100,000 or more.
- Good business acumen, understanding 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.
- Excellent communication skills and the ability to build lasting relationships.
- Exhibit natural curiosity, exploring and considering all options, and 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.
- Knowledge of claims reserving techniques and ability to assess claim reserves.
- 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.
- Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business.
- Demonstrates inner strength, courage to do the right thing, and demonstrates it on a daily basis.
- Intellectual curiosity, consistently considering all options and not governed by conventional thinking.
- Proficient in MS Office Suite and other business-related software.
- Polished and professional written and verbal communication skills.
- 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 possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 Days.
- Competitive compensation and merit-driven profit sharing.
- Flexible workplace policies supporting employee well-being, including compressed hours, flex-time, job-sharing, remote work, sabbatical leave, and holiday hours.
- Comprehensive health, wellness, and financial planning options tailored to meet personal and family needs.
- 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 leave.
- Employee assistance program (EAP) and an array of voluntary benefits.
- Argo Academy, a digital and instructor-led platform offering continuous learning and professional development.
- Encouragement of career mobility and continuing education to pursue and maintain professional and industry designations.
- An inclusive culture developing and sponsoring diverse teams, encouraging cross-functional engagement and collaboration, building community through employee resource groups (ERGs), and providing an environment for ongoing dialogue and creative innovation.
- Active community outreach and volunteer programs.
- A generous Employee Referral program resulting in approximately 25% of all new hires annually.
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