Claims Specialist

Argonaut Management Services, Inc • Springfield, MO, United States • $53k - $67k / year • 5d ago

Argo Group and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly owned subsidiaries of Brookfield Wealth Solutions, a leading provider of wealth and insurance solutions. Argo and Farm Family partner with agents and brokers to help businesses stay in business, delivering collaborative insurance solutions for niche markets.

Job Description

PURPOSE OF THE JOB:

The Specialists are responsible for the investigation, evaluation, negotiation and settlement of injury claims. This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Specialists are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Specialists work closely with other departments, vendors and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to millions of dollars.

ESSENTIAL FUNCTIONS:

Manage and resolve claims involving Bodily Injury (BI) claims.
Conduct thorough investigations into injury-related losses, including medical records review, liability assessment, and damages evaluation.
Negotiate settlements with claimants, attorneys, and medical providers to ensure fair and timely resolution of BI claims.
Apply advanced knowledge of BI claim handling best practices, state regulations, and coverage interpretation to drive accurate and compliant outcomes.
Makes liability determination for based on investigation and the applicable liability law. Includes sending out required forms & obtaining releases as needed, negotiating settlements with customers or their legal representatives.
Ensures compliance with state regulations and requirements.
Focuses primarily on proper investigation, evaluation, negotiation and settlement of all claims moderate to serious complexity.

QUALIFICATIONS:

4 years' claims experience.
Maintain Continuing Education (CE) requirements for state licensing when appropriate.

SPECIAL POSITION REQUIREMENTS:

The position is physically comfortable; essentially normal office environment with acceptable lighting and temperature; the individual has discretion about walking, standing, etc.

PREFERENCES:

Bachelor's degree in a related field or the equivalent years' work experience.

JOB FAMILY:

Claims Specialist

Sr. Claims Specialist

Salary range is $53,000 - $67,000

Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

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.

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Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.