Senior Workers’ Claims Adjuster

Job Description

Senior Workers’ Compensation Claims Adjuster – Argo Group

We are seeking a highly capable Senior Workers’ Compensation Claims Adjuster to join our Claims team. This full‑time, in‑office position can be based at our Rockwood, PA, Omaha, NE, Richmond, VA, or Springfield, MO offices. The role reports to a manager in Rockwood and involves adjudicating workers’ compensation claims in the jurisdictions of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV, with approximately 20% of the claims covered by the federal black‑lung program.

Candidates must be able to work on‑site during standard business hours.

• Adjudicate highly complex indemnity and federal black‑lung workers’ compensation claims under broad limits and authority, providing laser‑focused customer service and developing lasting relationships with insureds and brokers.
• Solve difficult problems requiring a broad understanding of related issues.
• Report to senior management, loss control, and underwriters on claims trends and developments.
• Identify loss drivers and claims trends to reduce 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 coverage under the policy.
• Manage claims in litigation, ensuring cases move toward the best financial outcome and timely resolution.
• Create and review reserves in line with market and Argo’s reserving policy.
• Coordinate assignment and collaboration with expertise resources to assist in case resolution.
• Prepare reports and documentation for files.
• Apply creative solutions to achieve the best financial outcome.
• Settle straightforward claims in line with authority limits and organizational referral procedures.
• Negotiate cost‑effective solutions within own limits, using a range of negotiation styles.
• Prioritize workload by processing mail and completing telephone calls and written correspondence with various parties.
• Maintain a passion for strong claim management.

• Good business acumen and understanding of how insurance companies operate and profit.
• Advanced knowledge of workers’ compensation claims with a minimum of five years adjudicating claims in CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
• Bachelor’s degree from an accredited university required; alternatively, two or more insurance designations or four additional years of related experience may substitute for a degree.
• Must be licensed in KY or have the ability to obtain a license quickly to adjudicate first‑party claims.
• Excellent communication skills with the ability to build lasting relationships.
• Ability to exercise discretion and independent judgment on significant matters.
• Strong claim negotiation skills and a proactive, pragmatic approach.
• Execution focus and the ability to consistently deliver expected results to all stakeholders.
• Problem‑solving, global mindset, and client focus to deliver value‑added solutions.
• Adaptability, resourcefulness, and the ability to thrive in a fast‑paced, constantly evolving environment.
• Excellent evaluation and strategic skills.
• Strong customer focus and effective time‑management skills.
• Ability to articulate financial value at multiple responsibility levels, including to senior executives.
• Demonstrated integrity, courage, and a commitment to doing the right thing daily.
• Curiosity and willingness to explore all options, free from conventional thinking.
• Understanding of claims settlement dispute mechanisms (arbitration, mediation) and appropriate use.
• Proficient in listening and questioning techniques to gather information from insureds and claimants.
• Proficient with MS Office Suite and other business‑related software.
• Polished written and verbal communication skills; fluent English reading and writing required.
• Desire for continued professional development through continued education and self‑development opportunities.

The claims team operates in a collaborative, flat structure, enabling frequent interaction with senior management. We…