Workers' Claims Adjuster

Job Description

We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our team and work from any of our offices. The position reports to a manager based in North Carolina and focuses on adjudicating workers’ compensation indemnity claims in the jurisdictions of AZ, CA, MA and others to provide superb results for our clients.

• Adjudicate higher‑technical‑complexity workers’ compensation claims independently within significant limits and authority.
• Resolve generalized issues that are not complex, demonstrating a broader understanding of claims and policies.
• Report claims trends and developments to claims management and underwriters.
• Identify loss drivers and trends to reduce claim frequency and severity through data analysis and improved claim management.
• Investigate claims promptly and thoroughly, including interviewing all involved parties.
• Analyze claims forms, policies, endorsements, client instructions, and other records to determine policy coverage.
• Manage litigation claims and document case status for best financial outcomes and timely resolution.
• Create and review reserves in line with market and Argo reserving policy.
• Assign and coordinate resources to assist in case resolution.
• Prepare reports for file documentation and apply creative solutions for optimal financial outcomes.
• Settle straightforward claims within authority limits and follow organizational referral procedures.
• Negotiate cost‑effective solutions for the company and its customers within limited authority.
• Prioritize workload, complete telephone calls, and produce written correspondence to various parties.

• Bachelor’s degree from an accredited university or equivalent experience (minimum two years of adjudicating workers’ compensation claims in AZ, CA, and MA).
• Must be licensed in FL, GA, or TX and able to quickly obtain a license in each jurisdiction requiring a license to adjudicate first‑party claims.
• Good business acumen and independent judgment with respect to significant matters.
• Strong focus on execution and proven ability to deliver expected results.
• Client focus and ability to develop productive relationships with clients, business partners, and peers.
• Excellent communication skills, effective time management, and strong claim negotiation skills.
• Proficient in MS Office Suite and other business‑related software.
• Must be a licensed claims examiner or have the ability to obtain a license in each required jurisdiction within 120 days.

Base salary ranges and benefits are commensurate with experience. Additionally, all employees are eligible for an annual bonus based on company and individual performance and receive a generous benefits package, including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

• Albany & Chicago: $84,500 - $99,500
• Los Angeles or New York City: $92,000 - $108,400

Argo Group empowers its claims professionals to exercise independent discretion within broad limits, treat each case as a unique situation, and collaborate to resolve claims efficiently. We foster an inclusive and diverse environment, encourage innovation, and provide opportunities for professional development.

We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender expression, gender identity, genetic information, marital status, national origin or citizenship, disability, race, religious creed, sex, sexual orientation, military or veteran status, or any other status protected by laws or regulations. The collection of your personal information is subject to our HR Privacy Notice.