Senior Technical New York Labor Law Claims Specialist

About the role

The role is adjudicating claims of general liability, third party property damage, and third party bodily injury with a focus on New York Labor Law. This is a 100% in-office position.

Responsibilities

• Adjudicate New York Labor Law claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
• Conduct detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
• Report to senior management and underwriters on claims trends and developments.
• Analyze claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
• Investigate claims promptly and thoroughly, including interviewing all involved parties.
• Manage claims in litigation.
• Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
• Properly set claim reserves, taking into account how different policy wordings impact the claims reserving process.
• Identify loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
• Identify, assign, and coordinate the assignment and coordination of expertise resources to assist in case resolution.
• Prepare reports for file documentation.
• Apply creative solutions which result in the best financial outcome.
• Negotiate highly complex settlement packages within scope of authority in order to settle claims in the most cost-effective manner.
• Process mail and prioritize workload.
• Handle telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
• Show an appreciation and passion for strong claim management.

Qualifications / Experience

• A deep knowledge of adjudicating New York Labor Law claims, as well as exceptional customer service focus, typically achieved through a minimum of: Seven years’ experience adjudicating commercial general liability claims with a focus on New York Labor Law.
• Bachelor’s degree from an accredited university required. Juris Doctor from an accredited law school is strongly preferred.
• Two or more insurance designations or four additional years of related experience adjudicating environmental claims beyond the minimum experience required above may be substituted in lieu of a degree.
• 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).
• Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days
• Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
• A strong focus on execution in getting things done right.
• Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused Thinking with a global mindset first.
• Excellent communication skills and the ability to build lasting relationships.
• Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
• Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.
• Strong claim negotiation skills a must.
• Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate.
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
• 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.
• Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
• Client focus – the ability to effectively determine specific client needs and to provide value added solutions. Ability to articulate the financial value of your work at multiple responsibility levels inside our clients’ business which may include CEO.
• Desire for continued professional development through continuing education and self-development opportunities.

Pay

• Albany Pay Range: $ 151,062 - $181,254
• New York City Pay Range: $165,036 - $198,084

About Working In Claims

At Argo Group, 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.

About Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.