[Remote] Workers’ Compensation Claims Adjuster

Note: The job is a remote job and is open to candidates in USA. Argo Group is a leading wealth solutions provider focused on securing the financial futures of individuals and institutions. They are seeking a highly capable Workers' Compensation Claims Adjuster to adjudicate indemnity workers' compensation claims of higher technical complexity, with a direct impact on departmental results.

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.
• 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.

Skills

• 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.
• 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.

Education Requirements

• 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.

Benefits

• Health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities

Company Overview

• Argo Group is a U.S.-focused underwriter of specialty insurance products in the property and casualty market. It was founded in 1996, and is headquartered in Elstead, Surrey, GBR, with a workforce of 501-1000 employees. Its website is http://www.argogroup.com.

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