Claims Examiner

Company Profile

Argo Group International Holdings, Inc and American National, U.S. 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.

Purpose of the job:
The Examiner is for the oversight of Workers Compensation claims being handled by third‑party TPAs. This includes the investigation, evaluation, negotiation and settlement of claims. The Examiner analyzes coverage, ensures reserves are appropriate per company guidelines, and complies with insurance regulations, statutes, and case law. The role works closely with TPAs, other departments, vendors, and defense counsel throughout the claim process.

Claim values may range from nominal amounts to millions of dollars.

• Oversight of multi‑state Workers Compensation claims.
• Handles large loss reporting and reinsurance notifications.
• Reviews, interprets, summarizes and communicates concerns or opportunities related to TPA claim handling.
• Oversight of files in excess of a million dollars or complex coverage issues.
• Provides day‑to‑day assistance to the management regarding technical handling questions, research and file strategy.
• Completes targeted audits and other special projects.

• 8 years of claims experience in handling Workers Compensation claims.
• Maintain continuing education (CE) requirements for state licensing when appropriate.

• Bachelor’s degree in a related field or equivalent years of work experience.

Claims Representative, Sr. Claims Representative, Claims Specialist, Sr. Claims Specialist, Claims Examiner

• Seniority level
  :
  Mid‑Senior level
• Employment type
  :
  Full‑time
• Job function
  :
  Finance and Sales
• Industry
  :
  Insurance

$69,462.00 – $ USD per annum

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

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 a similar state or local law and you wish to discuss reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210‑321‑8400.

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, childbirth, breastfeeding, and medical conditions related to pregnancy, childbirth 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.

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

The collection of your personal information is subject to our HR Privacy Notice.