A Brief Overview
This role will be adjudicating highly complex commercial New York Labor Law claims and contribute to providing superb results for our clients. The role will work on-site (or hybrid no less than three days per week on-site) at either our Chicago, New York City, Rockwood, PA, or San Antonio, TX office.
How You Will Make an Impact:
Working under limited technical direction and within broad limits and authority, adjudicate highly complex New York Labor Law claims, potentially with a significant impact on departmental results.
Solving difficult problems that requires an understanding of a broader set of issues.
Reporting to senior management and underwriters on claims trends and developments.
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.
Negotiating settlements
Processing mail and prioritizing workload.
Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
What We Need:
Bachelor’s degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating New York Labor Law Claims beyond the minimum experience required above may be substituted in lieu of a degree.
A specialized knowledge typically achieved through a minimum of five years’ experience adjudicating New York Labor Law claims.
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
Physical Demands
Unless otherwise specified below as an essential function of the job, this role generally operates within a standard office environment (on-site, remote or hybrid); requiring the use of a PC and other related office equipment.
