Senior Claims Account Manager

At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams.

Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces diversity and design thinking, relies on innovation and agility, promotes collaborative service delivery, frequent, integrated communication, and authentic recognition of excellence.

We are looking for a highly capableSeniorClaims Account Manager to join our teamand work from any of our US offices. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.This position reports into the VP, Programs Claims who works from our San Antonio, TX office.This individual oversee third party claim administrators handling workers' compensation claims on Argo's behalf and contribute to providing superb claims results for our clients.

The primary duties and responsibilities of the role are:

• Monitor the quality of work performed by internal employees or TPAs adjusting claims for US programs. Act as the single point of contact for all assigned programs for both internal and external customers. Provide industry leading customer service and communicates effectively with the goal of building and maintaining internal and external customer relationships.
• Participate in audit and claim review process for all assigned program
• Effectively monitors work of assigned TPA's to ensure quality claim handling and compliance with Claims Administration Agreements and Claim Reporting Requirements. This includes:
  
  
  
  • Engage in effective oversight of complex and escalated claims
  • Quality assurance audits are completed timely with appropriate reporting and follow-up.
  • Engaged in effective oversight of complex and escalated claims
  • Claim reviews are completed timely and effectively
  • Use of Power BI reports, dashboards and audit results to understand and address TPA performance and trends
  • Provide effective feedback to TPA
  • Ensuring Image Right files reflect regular manager involvement, guidance and direction, where appropriate
  • Authority requests are responded to appropriately and timely
  • Large loss and pre-trial presentation are done timely and effectively
  
  
  
  

• Engage in new Program and TPA implementations and manage all aspects of implementation.
• Robust communication with Actuary, Programs Underwriting and VP of Program Claims of TPA and Program performance and trends.
• Manage the Program Claims Compliance Specialist position. This position provides administrative support to the Programs Department and supports EDI processing, reporting, and resolutions. This includes:
  
  
  
  • Providing direction, leadership, and training.
  • Ensuring performance objectives and metrics are in place and being met to support and meet department goals.
  • Being a positive role model in creating and adapting to changes in the work environment to improve overall results.
  • Managing expenditures for the team to budget / plan.
  • Supporting the selection process to hire and retain claims professionals that consistently demonstrate appropriate technical expertise.
  
  
  
  

Core qualifications and requirements for this position include:

• 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).
• A deep knowledge of managing TPA performance typically obtained through
  
  
  
  • Bachelor's Degreefrom an accredited university is required. Two or more insurance designations or four additional years of related experience adjudicating workers' compensation claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • At least seven years of workers' compensation claims and experience handling specialty programs with experience managing TPAs, MGAs, or other outside vendors required.
  
  
  
  
• Advanced technical expertise related workers' compensation policies, claims resolution, and skills and knowledge of insurance and claims settlement principles, practices and procedures.
• Experience conducting audits with a proven ability to communicate and present findings accordingly
• Strong communication, negotiation and presentation skills. Ability to effectively interact with all levels of the company's internal and external business partners.
• Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
• Ability to partner with finance, actuarial, IT and marketing resources.
• 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.
  
  
  
  
• Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
• Strong focus on selection - determined to have the right people who do the best job. Has a reputation for his/her ability to identify, attract, and hire talented people.
• A team builder, someone who understands that success is dependent upon the performance of the team and not individual team members. Creates strong morale and spirit within the team: shares wins and celebrates success as a team
• Dedicated to developing talent. Understands and is committed to teaching technical skills and developing people so that they realize their full potential.
• Ability to establish mentoring relationships with key employees and participates in the development of succession and training plans for all positions. Empowers others by driving decision-making, authority, and resources to trusted employees and providing stretch assignments.
• A relentless desire to continually update your skills through continuing education and self-development.
• Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
• Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
• Ability to build commitment both internally and externally. Ability to communicate corporate vision and to gain support for your views, opinions and decisions.
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
• Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
• Polished and professional written and verbal communication skills.
• Ability to articulate the financial value of your work at multiple responsibility levels inside our business including Argo senior executives.

About Working in Claims at Argo Group

• Argo Group does not treat our claims or our claims professionals as a commodity. 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.

How We Work - Our Employee Values

Employees at Argothrive togetheras a responsible, profitable specialty insurer where all stakeholders share in our success.

We are committed to:

• Demonstrate entrepreneurial spirit:
  
  
  
  • Get the job done in a non-bureaucratic, resourceful manner.
  • Create a culture of accountability ensuring the delivery of world-class products and services.
  
  
  
  
• Do the right thing:
  
  
  
  • Act with integrity always.
  • Adhere to the commitments set forth in the Argo Group Environmental, Social and Governance program.
  
  
  
  
• Collaborate:
  
  
  
  • Create an open and transparent environment in which diverse experience, skill sets, and individuals can team together to drive optimal outcomes.
  • Encourage and include unique perspectives at all times.
  
  
  
  
• Respect each other:
  
  
  
  • Create an environment that promotes dialogue, mutual support and cooperation between and among all, where people are fun to be around, proud of what they do, and willing to achieve beyond normal expectations.