Complex Claims and Coverage Technical Specialist

The Complex Claims and Coverage Technical Specialist at Argo Group is responsible for adjudicating complex claims and insurance coverage disputes, collaborating with a variety of stakeholders to ensure each case is managed effectively. This includes overseeing defense operations, negotiating settlement packages, and providing insights into claims trends while reporting to senior management.

Candidates for the Complex Claims and Coverage Technical Specialist role at Argo Group should hold a J.D. from an accredited law school and have a minimum of five years of experience in claims adjudication or insurance coverage disputes, particularly with commercial lines such as General Liability and Property. Strong communication skills, business acumen, and a customer-focused mindset are also essential.

Argo Group offers a collaborative and inclusive work environment for its Complex Claims and Coverage Technical Specialist. Team members work together in the office five days a week to foster connections and drive organizational success. Argo promotes an open dialogue culture, encouraging employees to share ideas and innovate in claims management.

Argo Group is committed to the professional growth of its Complex Claims and Coverage Technical Specialists through continuous learning opportunities, including the Argo Academy platform, which provides digital and instructor-led training sessions. The company also encourages career mobility and ongoing education to support industry designations and professional certifications.

A Complex Claims and Coverage Technical Specialist at Argo Group will enjoy a competitive compensation package, which includes flexible work policies, comprehensive health benefits, generous paid time off, and an array of voluntary benefits. Additionally, Argo Group has programs focused on employee well-being and an inclusive work culture.

In answering this question, highlight specific examples from your past roles where you handled complex claims, detailing your strategies for successfully adjudicating them and any key learnings you have gained from these experiences.

An effective answer should illustrate your analytical process, emphasizing how you gather information, assess policy documents, and interview stakeholders to arrive at well-informed conclusions regarding coverage issues.

Discuss your understanding of claims reserving techniques, including how you assess different policy wordings and the financial implications of reserves on claim management during your tenure in similar roles.

Explain your time management strategies and how you utilize organizational tools or methodologies to ensure that all claims progress efficiently towards resolution, emphasizing your ability to meet deadlines while maintaining quality.

In response, provide a scenario where you negotiated a complex settlement, describing the steps you took, the challenges faced, and the positive outcome that resulted from your negotiation efforts.

Stress the importance of communication in your daily activities, including how you keep all stakeholders informed and the strategies you use to build and maintain strong relationships with clients, insurers, and colleagues.

Outline your conflict resolution techniques, emphasizing active listening and collaboration to arrive at mutually beneficial solutions, showcasing your commitment to achieving the best outcomes for all parties involved.

Discuss any software or management systems you have utilized in past roles, explaining how they help track claims progress, document key activities, and maintain transparency among teams.

Reflect on specific aspects of litigation that you find challenging, such as evolving legal frameworks or stakeholder interests, and share strategies you employ to navigate these challenges effectively.

In your answer, share your passion for problem-solving and helping clients navigate complex situations, and highlight how these motivators align with Argo Group's values and mission.