Senior Technical Claims Specialist

Brookfield Wealth Solutions, Ltd•Los Angeles, WA

1d•$137,496 - $198,084•Remote

About The Position

Argo Group is looking for a highly capable Senior Construction Technical Claims Specialist Team Lead to join their team. This role will adjudicate complex construction defect claims for customers and contribute to providing superb results for clients. The role involves working under limited oversight and adjudicating construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results. The specialist will conduct detailed information gathering, analysis, and investigation to find solutions to issues that are numerous and undefined. They will also report to senior management and underwriters on claims trends and developments, analyze claims forms, policies, and endorsements, client instructions, and other records to determine coverage, and investigate claims promptly and thoroughly, including interviewing all involved parties. Managing claims in litigation, managing diaries timely and completely to ensure the best financial outcome and timely resolution, properly setting claim reserves, and identifying loss drivers and claims trends are also key responsibilities. The role requires identifying, assigning, and coordinating expertise resources, preparing reports for file documentation, applying creative solutions, and negotiating highly complex settlement packages within scope of authority. Processing mail, prioritizing workload, and handling telephone calls and written correspondence are also part of the role. A passion for strong claim management is essential.

Requirements

Minimum of five years’ experience adjudicating construction defect claims with exposure of $100,000 or more.
Bachelor’s degree from an accredited university required.
Two or more insurance designations or four additional years of related experience adjudicating commercial general liability bodily injury claims beyond the minimum experience required above may be substituted in lieu of a degree.
Licenses in multiple jurisdictions. Applicants either need to possess a General Adjusting License in Florida, Texas or Wyoming or currently be licensed in multiple other jurisdictions.
Ability within three months of hire to obtain other licenses in each jurisdiction (either through reciprocity of their Florida, Texas or Wyoming license or by obtaining a license in each jurisdiction (such as required by New York).
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).
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.
Excellent evaluation and strategic skills required.
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.
Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills in order to present information accurately and effectively.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
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.
Applicants must be legally authorized to work in the United States.
Must not require sponsorship for employment visas.

Nice To Haves

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.
We encourage talented people from all backgrounds to apply.

Responsibilities

Adjudicate construction defect 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 most cost effective manner.
Process mail and prioritize workload.
Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Have an appreciation and passion for strong claim management.