Workers' Compensation Claims Adjuster

Company

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.

Job Description

Business Title(s): Workers' Compensation Claims Adjuster

Employment Type: Full-Time

FLSA Status: Exempt

Location: In-Office - Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.

Summary:

We are seeking a highly capable Workers' Compensation Claims Adjuster to join our in-office team (5 days/week) from our Omaha, NE office. Alternatively, this role can be filled in our Chicago, IL or Richmond, VA offices. This role is focused on adjudicating workers' compensation indemnity claims in the jurisdictions of PA, KY and NY and contribute to providing superb results for our clients. Experience in the jurisdictions of NJ is preferred but not 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.

Essential 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 claims management 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.
• Creates and reviews 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
• Applying creative solutions which result in the best financial outcome.
• Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
• Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
• Processing mail and prioritizing workload.
• Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
• Having an appreciation and passion for strong claim management.
  

Qualifications / Experience Required:

• Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:
  • Bachelor's degree required , OR two insurance designations OR four additional years of Indemnity Workers' Compensation adjusting experience in lieu of degree.
  • Minimum 2 years' experience adjudicating workers' compensation claims in the jurisdiction of PA, KY and NY. Experience in NJ is preferred but not required.
  • Must be able to obtain and retain licenses where applicable in assigned jurisdictions within 120 days of identification of need.
• Strong business acumen and understanding of how claim outcomes impact profitability.
• Proven ability to exercise sound judgment and independent decision-making.
• A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:
  • Finding a way to achieve success through adversity.
  • Being solution (not problem) focused
  • Thinking with a global mindset first.
• Client focus - the ability to effectively determine specific client needs and to provide value added solutions.
• Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
• Excellent evaluation and strategic skills required.
• Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates. Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed with additional training.
• Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
• Ability to thrive in a fast-paced, evolving environment with multiple priorities.
• Uses listening and questioning techniques to effectively gather information from insureds and claimants
• Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership.
• High degree of professionalism, curiosity, integrity, and willingness to do the right thing.
• Proficient in MS Office and related business systems; fluent in English.
• Commitment to ongoing professional development.

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, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

• Richmond Pay Range: $78,336 - $92,208

• Chicago Pay Range: $86,190 -$101,490
  
  

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.
• 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 View phone number on click.appcast.io.

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.

Core Values

At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we aspire to be - guiding how we work, how we lead and how we succeed.