Workers' Claims Adjuster

** Job Description
**** Business Title(s):
** Workers’ Compensation Claims Adjuster
*
* Employment Type:

** Full-Time
** FLSA Status:
** Exempt
*
* Location:

** In-Office  
*
* Summary:

** We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our Claims team and work from our Omaha, NE office.  The position reports to a manager based in Rockwood, PA. This role will be adjudicating Workers' Compensation claims in the jurisdictions of AL, CO, FL, GA, KY, NC, NJ, NY, & SC in order to provide superb results for our clients.

Although Argo Workers’ Compensation underwrites general liability insurance and workers’ compensation for many types of businesses, our specialty is underwriting workers’ compensation insurance for the mining industry, with a focus on the coal-mining industry.  Argo Workers’ Compensation has become a leading underwriter of workers’ compensation for the mining industry by offering workers’ compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.  

We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness.  Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.
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:*
* * 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.  + Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long-lasting connections with our insured and brokers.
* Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues.  + Reporting to senior management, loss control, 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.  

+ Writing own coverage letters.  + 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.  + Creating and reviewing 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.  + Settling straightforward claims in line with authority limits and adheres to organizational referral procedures  + Negotiating 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.
** Qualifications / Experience

Required:

** * + Practical knowledge of workers'…