Workers' Claims Adjuster

Argo Group

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.

Business Title(s): Workers' Compensation Claims Adjuster

Employment Type: Full-Time

FLSA Status: Exempt

Location: In-Office
- Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.

Summary:

We are seeking a highly capable Workers' Compensation Claims Adjuster to join our in-office team (5 days/week) from our Omaha, NE office. Alternatively, this role can be filled in our Chicago, IL or Richmond, VA offices. This role is focused on adjudicating workers' compensation indemnity claims in the jurisdictions of PA, KY and NY and contribute to providing superb results for our clients.

Experience in the jurisdictions of NJ is preferred but not required.

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

• 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.
• Resolving issues that are generalized and typically not complex but require understanding of a broader set of issues.
• Reporting to claims management and underwriters on claims trends and developments.
• Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
• Investigating claims promptly and thoroughly
• Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
• Investigating claims promptly and thoroughly, including interviewing all involved parties.
• Managing claims in litigation
• Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
• Creates and reviews reserves in line with market and Argo's reserving policy
• Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
• Preparing reports for file documentation
• Applying creative solutions which result in the best financial outcome.
• Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
• Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
• Processing mail and prioritizing workload.
• Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
• Having an appreciation and passion for strong claim management.

• Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:
  • Bachelor's degree required
    , OR two insurance designations OR four additional years of Indemnity Workers' Compensation adjusting experience in lieu of degree.
  • Minimum 2 years' experience adjudicating workers' compensation claims in the jurisdiction of PA, KY and NY. Experience in NJ is preferred but not required.
  • Must be able to obtain and retain licenses where applicable in assigned jurisdictions within 120 days of identification of need.
• 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…