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Workers' Compensation Claims Adjuster

Workers' Compensation Claims Adjuster

Argonaut Management Services, IncDes Moines, IA, United States
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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.

Job Description

A Brief Overview

We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary estimated three-month assignment and work from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment : Chicago, Los Angeles, New York City, Omaha, Richmond (VA),Rockwood (PA), or San Antonio. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of AZ, CA, FL and MA. As this is a temporary assignment, only government mandated benefits will be provided.

How You Will Make an Impact :

  • 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.
  • Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues.
  • Reporting to senior management and underwriters on claims trends and developments.
  • 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.
  • Properly setting claim reserves.
  • 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.
  • Negotiating settlements.
  • Completing telephone calls and written correspondence to / from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

What We Need :

  • Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
  • A practical knowledge of adjudicating workers' compensation claims through :
  • A minimum of five years' experience adjudicating workers' compensation claims in one or more of the following jurisdictions : FL and MA.
  • Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating medical only claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • License required in FL, RI, or TX.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Exhibit natural curiosity
  • Desire to work in a fast-paced environment.
  • Excellent evaluation and strategic skills required.
  • Strong claim negotiation skills a must.
  • Must possess a strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Must work independently and demonstrate the ability to exercise sound judgment.
  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
  • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

    • The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges : $47.69 - $56.78 per hour
  • California outside of San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges : $52.50 - $62.45 per hour
  • New York City and San Francisco metro areas Pay Ranges : $57.26 - $68.17 per hour

    • Physical Demands

  • Unless otherwise specified below as an essential function of the job, this role generally operates within a standard office environment requiring the use of a PC and other related office equipment.

    • About Working in Claims at Argo Group

  • Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

    • PLEASE NOTE :

    Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

    If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

    Notice to Recruitment Agencies :

    Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

    We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

    The collection of your personal information is subject to our HR Privacy Notice

    Benefits and Compensation

    We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

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    Compensation Adjuster • Des Moines, IA, United States