Senior Management & Professional Liability Technical Claims Specialist - job 2 of 2

As a Senior Management & Professional Liability Technical Claims Specialist at Argo Group, your key responsibilities include adjudicating complex professional lines claims, conducting thorough investigations, managing litigation, analyzing claims documentation, and effectively communicating with all parties involved to ensure optimal outcomes. You will also report to senior management on trends and developments in claims.

To qualify for the Senior Management & Professional Liability Technical Claims Specialist role at Argo Group, you need a J.D. from an accredited university and at least seven years of experience in claims adjudication, particularly with exposure to professional lines claims exceeding $100,000. Strong negotiation skills, excellent communication abilities, and a customer-focused mindset are also essential.

At Argo Group, career growth opportunities for a Senior Management & Professional Liability Technical Claims Specialist are abundant. Employees are encouraged to pursue continuous learning and development through the Argo Academy. Our culture fosters innovation and leadership development, with pathways for advancement within the organization as you demonstrate your skills and dedication.

Argo Group values work-life balance and supports it through flexible workplace policies and generous benefits. As a Senior Management & Professional Liability Technical Claims Specialist, you can enjoy 21 days of paid time off, paid holidays, and parental leave, along with various wellness programs that prioritize your well-being.

The Senior Management & Professional Liability Technical Claims Specialist role at Argo Group is unique due to its combination of autonomy and collaboration, allowing you to work independently while being part of a supportive team. The focus on innovation and creative solutions in claim management sets this role apart, fostering an environment where your insights can lead to meaningful success for both the company and its clients.

When discussing your process for adjudicating complex claims, it's essential to highlight your analytical approach to gathering facts, interviewing parties involved, and thoroughly reviewing all relevant documentation. Discussing your strategies for evaluating the coverage and potential exposures while communicating with stakeholders shows your capability and methodical thinking.

To ensure effective communication with stakeholders, emphasize your skills in maintaining transparency and regularly updating involved parties. Share examples of how you tailor your communication style to different audiences and how you proactively address any concerns or questions that arise.

When describing a challenging claim, focus on the complexity involved, the specific actions you took to investigate and negotiate, and how you leveraged your expertise and resources to reach a resolution. Highlighting the positive outcome and any innovative strategies you employed can demonstrate your capability.

Discussing your commitment to continual learning, such as attending industry seminars, subscribing to relevant publications, or being part of professional organizations, showcases your dedication. Also, mention how you integrate this knowledge into your daily operations, ensuring you remain compliant and up-to-date.

Share your time management strategies, such as using digital tools for tracking tasks, setting deadlines, and delegating when necessary. Discuss how you assess the urgency of each claim while ensuring that all receive the attention needed for timely resolution.

In discussing your experience with claims litigation, highlight specific cases you've handled, the challenges faced during litigation, and how you effectively managed those challenges. Emphasize your negotiation skills and ability to work with legal teams to achieve favorable outcomes.

When addressing the potential for fraud, describe your approach to recognizing red flags, such as inconsistencies in claims documentation or patterns that might indicate fraudulent activity. Share examples of investigations you've conducted that identified fraudulent claims to illustrate your analytical skills.

Discuss key metrics, such as claim resolution times, the dollar amounts of closed claims, loss ratio, and customer satisfaction levels. Explaining how you track and assess these metrics to inform your strategies demonstrates your understanding of effective claims management.

Building strong relationships starts with active listening, understanding clients’ needs, and maintaining open lines of communication. Share specific strategies you employ to foster these relationships, such as regular check-ins and collaborative problem-solving.

When discussing challenges in the insurance claims landscape, consider emerging risks, regulatory changes, and technology advancements. Talk about your proactive stance to adapt to these challenges through continuous learning and collaborating with teams to innovate claims handling processes.