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About the Role

We are looking for a highly capable Senior Complex Claims Technical Specialist to join our team and provide technical support on insurance coverage disputes and major cases in litigation assigned to Adjusters throughout the US. This is a 100% in-office position.

Responsibilities

• Adjudicate highly complex claims and insurance coverage disputes, primarily for our professional liability line of business, at the highest authority limits.
• Conduct detailed information gathering, analysis, and investigation to find solutions to numerous and undefined issues.
• Oversee defense panelists, including monitoring and evaluating operations and performance.
• Conduct file reviews to ensure accuracy, attend mediations and settlements, and participate in pre-trial calls.
• Provide technical guidance in properly setting claim reserves.
• Report to senior management and underwriters on insurance coverage issues and claims trends.
• Investigate insurance coverage issues and claims promptly and thoroughly.
• Analyze claims forms, policies, endorsements, client instructions, and other records to determine coverage.
• Investigate claims promptly and thoroughly, including interviewing involved parties.
• Manage claims in litigation.
• Manage diaries and complete tasks to ensure timely and optimal financial outcomes for cases.
• Properly set claim reserves, considering the impact of different policy wordings.
• Identify, assign, and coordinate expertise resources to assist in case resolution.
• Prepare reports for file documentation.
• Apply creative solutions for the best financial outcome.
• Negotiate highly complex settlement packages, set reserves, and authorize payments within scope of authority.
• Process mail and prioritize workload.
• Complete telephone calls and written correspondence.
• Demonstrate a passion for strong claim management.

Requirements

• At least seven years of experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
• Experience adjudicating claims under Commercial General Liability, Garage, Inland Marine, Excess, Property, and Environmental policy types is strongly preferred.
• Must have good business acumen, understanding how an insurance company operates and impacts profitability.
• Ability to regularly exercise discretion and independent judgment on significant matters.
• Excellent communication skills and ability to build lasting relationships.
• Exhibit natural curiosity to explore all options beyond conventional thinking.
• Strong focus on execution and delivering expected results.
• Ability to achieve success through adversity.
• Be solution-focused, not problem-focused.
• Think with a global mindset.
• Flexibility, ability to thrive in change, and resourcefulness in a fast-paced, evolving environment.
• Excellent evaluation and strategic skills.
• Strong claim negotiation skills.
• Knowledge of claims reserving techniques and ability to assess reserve accuracy.
• Strong customer focus.
• Effective time management skills and ability to prioritize workload with multiple tasks and deadlines.
• Demonstrate innovative thinking and share ideas with the team.
• Ability to articulate the financial value of work to various responsibility levels within client businesses.
• Demonstrate inner strength and courage to do the right thing.
• Proficient in MS Office Suite and other business-related software.
• Polished and professional written and verbal communication skills.
• Ability to read and write English fluently.
• Desire for continued professional development.
• Must possess or be willing to quickly obtain a Licensed Claims Examiner license in each jurisdiction requiring one for first-party claims within 120 days.
• Applicants must be legally authorized to work in the United States.
• Not able to sponsor or assume sponsorship of employment visas.

Skills

• Claims adjudication
• Insurance coverage disputes
• Customer service
• Professional Liability claims
• Commercial General Liability
• Garage
• Inland Marine
• Excess
• Property
• Environmental
• Business acumen
• Discretion
• Independent judgment
• Communication skills
• Relationship building
• Curiosity
• Execution
• Problem-solving
• Strategic thinking
• Claim negotiation
• Claims reserving techniques
• Customer focus
• Time management
• Prioritization
• Innovation
• Financial value articulation
• MS Office Suite proficiency

Location

• In Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.
• Omaha
• Chicago
• Los Angeles
• Albany
• New York City
• Richmond

Work Type

• Full-Time
• 100% in-office

Experience Level

• Senior
• At least seven years’ experience handling insurance coverage issues and disputes

Education Level

• J.D. from an accredited law school

Salary/Compensations

• Richmond Pay Range: $157,998 - $189,516
• Albany and Chicago Pay Range: $173,706 - $208,386
• Los Angeles and New York City Pay Range: $189,618 - $227,562

Benefits

• Competitive compensation package
• Performance-based incentives
• Comprehensive benefits program
• Health insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Professional development opportunities

About the Company

• Argo Group is an underwriter of specialty insurance products in the property and casualty market.
• Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses.
• The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
• 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 be creative in developing solutions.
• We have a very flat organizational structure, enabling employees to have more interaction with our senior management team.
• 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 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.
• At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking.

Equal Opportunity

• We encourage talented people from all backgrounds to apply.
• If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.