Argonaut Management Services, Inc Looking for Complex Claims Technical Specialist at Irvine, CA  Full Time

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

Our flexible 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 you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us.

We are looking for a highly capableComplex Claims Technical Specialistto join our teamand work in one any of our US offices.This role will directly report to the SVP, Complex Claims Unit based in Alpharetta and is responsible for providing technical support on 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, 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 pre-trail calls as necessary.
• Provide technical guidance in properly setting claim reserves.
• Reporting to senior management and underwriters on claims trends and developments.
• Investigating 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:

• Bachelor’s degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating commercial claims beyond the minimum experience required above may be substituted in lieu of a degree. Experience in the legal environment with vendor management preferred.
  • A Juris Doctorate is strongly preferred.
• A deep knowledge of claims adjudication typically achieved through a minimum of seven years’ experience adjudicating claims with exposure of $100,000 or more.
• 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 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.
• Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
• 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 possess 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.

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 210-321-8400.

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, Ltd. (NYSE:) is a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market. We help power the businesses that drive the world economy, offering a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients.We foster an inclusive culture that embraces diversity and design thinking, relies on innovation and agility, promotes collaborative service delivery, offers frequent, integrated communication and values authentic recognition of excellence. View our to learn more about Argo.

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.

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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.
• Flexible workplace policies that support employee well-being include compressed hours, flex-time, job-sharing, remote work, sabbatical leave, holiday and summer hours.
• 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 instructor-led platform that offers continuous learning and professional development –magazine 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 cross-functional 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 in addition to matching charitable gifts by 100%.
• A generous Employee Referral program that results in approximately 25% of all new hires annually.