Workers' Claims Adjuster

Overview

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.

A Brief Overview

We are looking for a highly capable Workers' Compensation Claims Adjuster to assist on a temporary estimated three-month assignment, with the possibility of temp-to-hire if the candidate can work five days a week in one of the following offices:
Albany, Chicago, Los Angeles, New York City, Omaha, Richmond (VA), Rockwood (PA), San Antonio, or Springfield. The role will adjudicate indemnity workers' compensation claims of higher technical complexity for customers in the states of AL, DC, FL, GA, KY, ME, MS, NC, NH, SC, and TN. This is a temporary assignment; only government mandated benefits will be provided.

• Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
• Resolve issues that are generalized and typically not complex, but require understanding of a broader set of issues.
• Report to senior management and underwriters on claims trends and developments.
• Investigate claims promptly and thoroughly.
• 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 cases move to the best financial outcome and timely resolution.
• Properly set claim reserves.
• 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 settlements.
• Complete telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
• Demonstrate an appreciation and passion for strong claim management.

• 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).
• Practical knowledge of adjudicating workers' compensation claims.
• A minimum of five years' experience adjudicating workers' compensation claims in one or more of the following jurisdictions: AL, DC, FL, GA, KY, ME, MS, NC, NH, SC, and TN.
• Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating medical-only claims beyond the minimum experience may be substituted in lieu of a degree.
• License required in FL, RI, or TX.
• Excellent communication skills and the ability to build lasting relationships.
• Exhibit natural curiosity.
• Desire to work in a fast-paced environment.
• Excellent evaluation and strategic skills required.
• Strong claim negotiation skills.
• Strong customer focus.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• Ability to articulate the financial value of your work at multiple responsibility levels inside our clients  business, which may include the CEO.
• Ability to work independently and exercise sound judgment.
• Demonstrates inner strength and courage to do the right thing daily.
• Intellectual curiosity and willingness to consider non-conventional options.
• Proficient in MS Office Suite and other business-related software.
• Polished and professional written and verbal communication skills.
• Fluent reading and writing in English.
• Desire for continued professional development through continuing education and self-development opportunities.

The base salary range provided below is for hires in those…