Workers' Claims Adjuster

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.

Workers’ Compensation Claims Adjuster

Regular

Exempt or Non-Exempt

In-Office

We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Richmond, VA or Springfield, MO. However, we are open to considering hiring a less qualified candidate (a Trainee or Associate Adjuster) and providing additional on-the-job training to bring the candidate’s skill set up to an Adjuster level in the next couple of years.

The position reports to a manager based in Texas and is focused on adjudicating workers’ compensation indemnity and medical-only claims for our largest mining account, underwritten by Rockwood Casualty, mostly in the jurisdictions of IL, IN, KY, NY, PA, and VA. Approximately 20% of the claims assigned to this position are covered by the federal black lung program. Our Adjusters contribute to providing superb results for our clients.

Although Rockwood 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. Rockwood 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 us 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.

• Working under technical direction and within significant limits and authority, adjudicate indemnity and federal black lung workers’ compensation claims of higher technical complexity with a direct impact on departmental results. The amount of direction, limits and authority will initially vary depending on the skill set of the person hired into this role. In addition, adjudicate medical-only claims reported by the account as well.
• 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 claims 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.
• 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.
• Apply…