Workers' Compensation Claims Adjuster

Company

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

Business Title(s):Workers' Compensation Claims Adjuster

Employment Type:Full-Time

FLSA Status:Exempt

Location:Remote

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Summary:

We areseekinga highly capable Workers' Compensation Claims Adjuster to join our team and work remotely from their home within the State of New Mexico. This role reports to a manager in North Carolina and focuses onadjudicatingworkers' compensation indemnity claims in AZ, CA, CO, FL, GA, MA, and NM, along withadditionaljurisdictions.You'llplay a meaningful role in delivering exceptional outcomes for our clients.

This position is qualified as a remote position.

Essential Responsibilities:

• Adjudicateworkers' compensation claims of higher technical complexity within defined authority.

• Resolve moderately complex issues requiring broad understanding of claims processes and business impact.

• Investigate claims promptly and thoroughly, including interviews and documentation review.

• Evaluate policies, endorsements, and client instructions todeterminecoverage.

• Manage litigated claims andmaintainaccuratereserves aligned with Argo policy.

• Ensuretimelyfile progression through effective diary management and task completion.

• Identifylossdrivers, trends, and opportunities to reduce frequency and severity.

• Prepare clear, concise claim reports andmaintaincomplete,accuratedocumentation.

• Apply creative solutions and negotiate cost-effective settlements within authority.

• Coordinate internal and external expert resources as needed for case resolution.

• Communicate professionally with insureds, claimants, attorneys, underwriters, and management.

• Prioritize workload, process mail, and manage correspondence efficiently.

• Demonstrate strong claim management fundamentals and a consistent client-focused mindset.

Qualifications / ExperienceRequired:

• Practicalknowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:

• Bachelor'sdegreerequired, OR two insurance designations OR fouradditionalyears of Indemnity Workers' Compensation adjusting experience in lieu of degree.

• Minimum 2 years' experienceadjudicatingworkers' compensation claims in one or more of the followingjurisdictions:AZ, CA, CO, FL, GA, MA, and NM.

• Licensed inCA, FL, RI, orTX;must be able to quickly obtain other required jurisdictional licenses (within 120days).

• Strong business acumen and understanding of how claim outcomes impact profitability.

• Proven ability to exercise sound judgment and independent decision-making.

• 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 effectivelydeterminespecific client needs and to provide value added solutions.

• Successful traits (flexibility, ability to thrive in change, being resourceful on your own)necessaryto work in afast pacedenvironment that is evolving constantly.

• Ability to develop andmaintainproductive relationships with clients, businesspartnersand organizational peers with a focus ontimelyand meaningful exchanges of information.

• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.

• Exhibit natural and intellectual curiosityin order toconsistently explore and consider all options and is not governed by conventional thinking.

• Excellent evaluation and strategic skillsrequired.

• Strong claim negotiation skillsa must. Ability to takeproactiveand pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates.Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed withadditionaltraining.

• Demonstrates an understanding of mechanisms available for resolvingclaimssettlement disputes (e.g.arbitration and mediation) and when these are used.

• Ability to thrive in a fast-paced, evolving environment with multiple priorities.

• Uses listening and questioning techniques to effectively gather information from insureds and claimants

• Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership.

• High degree of professionalism, curiosity, integrity, and willingness to do the right thing.

• Proficient in MS Office and related business systems; fluent in English.

• Commitment to ongoing professional development.

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.

We have a very flat organizational structure, enabling our employeeshavemore 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.