Senior Claims Account Manager - job 1 of 2

As a Senior Claims Account Manager at Argo Group, you will monitor the quality of claims handled by third-party administrators, serve as the main contact for assigned programs, and ensure compliance with Claims Administration Agreements. You will also be involved in audit processes, manage TPA performance, and enhance client relationships through effective communication.

To qualify for the Senior Claims Account Manager position at Argo Group, you should have a Bachelor’s Degree from an accredited institution or equivalent experience, along with at least seven years of experience in handling workers’ compensation claims. Expertise in managing TPA performance and strong analytical and interpersonal skills are essential.

At Argo Group, teamwork is at the heart of our operations. Senior Claims Account Managers are encouraged to collaborate closely with various departments while working in an agile environment. We foster open communication, celebrate successes, and support each other to ensure clients receive the best service.

Argo Group highly values professional development for Senior Claims Account Managers through our Argo Academy, offering continuous learning options and support for further education. Employees are encouraged to pursue industry designations and attend training sessions to enhance their skills.

Technology is integral to the Senior Claims Account Manager role at Argo Group. You will utilize tools like Power BI to analyze performance trends and ensure quality claim handling. Our emphasis on innovation means you’ll have the opportunity to leverage technology to improve workflows and client interactions.

In responding to this question, focus on specific examples of past experiences where you successfully oversaw TPAs, detailing both the processes you implemented and the outcomes achieved.

Discuss the importance of open communication, trust-building, and regular check-ins. Illustrated experiences where these strategies led to improved client satisfaction will strengthen your response.

Emphasize your problem-solving skills and analytical abilities. Share a case where you navigated a complex claim, showcasing your approach to resolution while maintaining compliance and client focus.

Talk about various metrics such as claims resolution time, customer satisfaction, and compliance with agreements. Providing examples of how you have monitored these metrics in the past can strengthen your answer.

Provide details on previous audit experiences, including the methodologies used and findings. Emphasize how those audits led to improvements in claims handling or TPA performance.

Discuss the processes you follow for monitoring compliance, including documentation practices and regular communications with TPAs. Highlight how your diligence has led to successful outcomes in past roles.

Share a specific example where you spotted inefficiencies and describe the steps you took to address them, focusing on your analytical process and the results that followed.

Mention practices such as regular team meetings, sharing successes, encouraging input from all members, and celebrating milestones as ways to build a collaborative environment.

Articulate your approach to prioritization, which may include assessing urgency, impact, and resource availability. Sharing a time management strategy that worked for you can make this response robust.

Be prepared to discuss current trends or challenges in the industry, such as technology adoption, regulatory changes, or customer expectations, and how you believe they can be effectively addressed.