Workers' Claims Adjuster
Listed on 2026-02-19
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Insurance
Risk Manager/Analyst, Insurance Claims
Argo Group and Farm Family are specialty property and casualty insurance brands whose underwriting companies are wholly owned subsidiaries of Brookfield Wealth Solutions, a leading provider of wealth and insurance solutions. Argo and Farm Family partner with agents and brokers to help businesses stay in business, delivering collaborative insurance solutions for niche markets.
Job DescriptionBusiness Title(s): Workers' Compensation Claims Adjuster
Employment Type: Full-Time
FLSA Status: Exempt
Location: In-Office
SummaryWe are seeking a 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 on adjudicating workers' compensation indemnity claims in AZ, CA, CO, FL, GA, MA, and NM, along with additional jurisdictions. You'll play a meaningful role in delivering exceptional outcomes for our clients.
This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.
Essential Responsibilities- Adjudicate workers' 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 to determine coverage.
- Manage litigated claims and maintain accurate reserves aligned with Argo policy.
- Ensure timely file progression through effective diary management and task completion.
- Identify loss drivers, trends, and opportunities to reduce frequency and severity.
- Prepare clear, concise claim reports and maintain complete, accurate documentation.
- 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.
- 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 one or more of the following jurisdictions: AZ, CA, CO, FL, GA, MA, and NM.
- Licensed in CA, FL, RI, or TX; must be able to quickly obtain other required jurisdictional licenses (within 120 days).
- 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 effectively determine specific client needs and to provide value added solutions.
- Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.
- Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
- Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
- Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
- Excellent evaluation and strategic skills required.
- Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level…
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