Claims Specialist

Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Job Description

PURPOSE OF THE JOB: Provide a summary of the position, which includes the key reason the job exists. Include a statement about the kind of supervision or guidance the position generally requires (general direction, close supervision, etc.).

The Specialists are responsible for the investigation, evaluation, negotiation and settlement of 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: List essential job functions/duties that employee(s) must be able to perform, with or without reasonable accommodation. These are the tasks or functions that are fundamental to the position (as opposed to marginal).

• Auto - Handles moderate to serious property/physical damage and injury claims, which includes first and third party losses.
• Processes claims according to applicable state mandates.
• Demonstrates responsibility for investigating coverage issues and/or liability claims, as needed.
• Confirms coverage and the facts of loss through their investigation. This helps determine not only liability but the extent of loss (or injury, damage, etc.), if applicable.
• Determines the appropriate method of inspection or review of facts.
• 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: List the minimum educational and experience qualifications, required proficiencies with specialized knowledge, computer proficiencies, required certifications, etc.

• 4 years' claims experience.
• Maintain Continuing Education (CE) requirements for state licensing when appropriate.
• Health- Completion of ICA-1.
• Completion of appropriate insurance designation and/or training on medical terminology when appropriate.
• Completion of basic Kaplan Courses and/or PLRB courses as appropriate.

SPECIAL POSITION REQUIREMENTS: (Optional) Describe anything unusual about the work schedule or terms of employment such as: necessary travel, physical requirements, risk, hazard, unusual work hours, worksite changes, or related special conditions which may apply to the position.

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

PREFERENCES: (Optional) Include any preferred attributes for the position which are not absolutely required in the minimum qualifications (i.e. advanced degree, certifications/designations, multilingual, etc.).

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

JOB FAMILY:

Claims Specialist

Sr. Claims Specialist

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

Salary range is $51100 - $81300