Workers’ Compensation Associate Claims Adjuster

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Business Title(s):
Workers’ Compensation Associate Claims Adjuster

Employment Type:

Regular

FLSA Status:
Exempt or Non-Exempt

Location:

In-Office

Summary:

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

The position reports to a manager based in Rockwood and is focused on adjudicating workers’ compensation indemnity and medical-only claims for several of our non-partnership accounts, underwritten by Rockwood Casualty, mostly in the jurisdictions of IN, PA, and MI.

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.

Trainees will be required to accurately record all hours worked and submit timesheets in accordance with company policy. Depending on the level of the candidate, overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

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 moderate supervision and working within specific limits and authority, adjudicate indemnity and medical only workers’ compensation claims of moderate technical complexity with a some 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.
• 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 immediately evident, but typically, not complex and within immediate job area. 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 expert resources to assist in case resolution.
• Preparing reports for file documentation
• Applying creative solutions which result in the best financial outcome.
• Settles…