Senior Complex Claims Technical Specialist

Company: Argo AI
Location: Chicago
Posted on: May 31, 2025

Job Description:

Senior Complex Claims Technical SpecialistUS IL - ChicagoArgo 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 collaborative 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.At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams.
  
  Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers 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, frequent, integrated communication, and authentic recognition of excellence. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.A Brief OverviewWe are looking for a highly capable SeniorComplex Claims Technical Specialistto join our teamand work in our Chicago, Los Angeles, New York City, Omaha, Richmond, Rockwood, or SanAntonio offices.Wework together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. This role will directly report to the SVP, Claims Legal based in Chicago and is responsible for providing technical support on insurance coverage disputes and 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 and insurance coverage disputes, 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 insurance coverage issues and claims trends and developments.
  • Investigating insurance coverage issues and 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:
    • J.D. from an accredited law school.
    • A deep knowledge of claims adjudication typically achieved through a minimum of seven years' experience adjudicating claims and/or insurance coverage disputes with exposure of $100,000 or more.
    • At least seven years' experience handling insurance coverage issues and disputes, including under the following policy types: Commercial General Liability, Garage, Inland Marine, Excess, Property, and Environmental.
    • 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 be willing to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 DaysThe base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.New York City metro area Pay Range:$185,600 - $223,100Chicago and Los Angeles metro area Pay Range:$170,300 - $204,300Physical DemandsUnless otherwise specified below as an essential function of the job, this role generally operates within a standard office environment (on-site or hybrid); requiring the use of a PC and other related office equipment.About Working in Claims at Argo Group
      • 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 encourage talented people from all backgrounds to apply.How We Work - Our Employee ValuesEmployees at Argothrive together as a responsible, profitable specialty insurer where all stakeholders share in our success.
        We are committed to:
        • Get the job done in a non-bureaucratic, resourceful manner.
        • Create a culture of accountability ensuring the delivery of world-class products and services.
        • Do the right thing:
          • Act with integrity always.
          • Adhere to the commitments set forth in the Argo Group Environmental, Social and Governance program.
          • Create an open and transparent environment in which diverse experience, skill sets, and individuals can team together to drive optimal outcomes.
          • Encourage and include unique perspectives at all times.
          • Respect each other:
            • 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.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, Inc. ("Argo" or the "Company") is a wholly owned subsidiary of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. Argo, with over $8 billion of assets on its balance sheet, is a leading underwriter of specialty insurance products in the property and casualty (P&C) market, working with independent agents, wholesale brokers, and retail brokerage partners to deliver collaborative solutions for niche markets.BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. BWS is backed by Brookfield Corporation, a leading global investment firm whose asset management business manages more than $1 trillion in assets as of September 30, 2024.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.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.
                
                
              • Workplace policies that support employee well-being include flex time and floating holidays.
                
                
              • 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 -Training 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.
                
                
              • A generous Employee Referral program that results in approximately 25% of all new hires annually.Apply for this job*indicates a required fieldFirst Name *Last Name *Email *Phone *Location (City) *Resume/CV *Enter manuallyAccepted file types: pdf, doc, docx, txt, rtfEnter manuallyAccepted file types: pdf, doc, docx, txt, rtfLinkedIn ProfileWebsiteFor the position to which you are applying, will you now or in the future require employment-based sponsorship from Argo Group and its subsidiaries or any other form of immigration approval where applicable? * Select...If permissable in your country, are you willing to submit to a formal background check or other pre-employment screening? (If applying in Brazil, please select 'Not Applicable') * Select...Have you been previously employed by Argo Group or one of its subsidiaries? Or, are you currently working with Argo on a contract or agency-placement basis? * Select...Are you subject to a non-compete agreement, contract restriction, audit independence requirement, or any other restriction imposed by a current or former employer or regulator that may impact your employment with Argo Group? * Select...If applying to a position in the United States, are you at least 18 years of age? * Select...What are your desired base salary expectations for this role? *Are you willing to work in office 5 days a week? * Select...Voluntary Self-IdentificationFor government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.As set forth in Argo Group's Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.Select...Voluntary Self-Identification of DisabilityForm CC-305Page 1 of 1OMB Control Number 1250-0005Expires 04/30/2026Voluntary Self-Identification of DisabilityForm CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 04/30/2026
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Keywords: Argo AI, South Bend , Senior Complex Claims Technical Specialist, IT / Software / Systems , Chicago, Indiana