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Remote Claims Adjuster - Temp

$37.66 - $44.33 per hour

Argonaut Management Services, Inc

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. Business Title(s): TEMP- Claims Adjuster

Employment Type: Temporary

Location: In-Office or Remote

We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary estimated two-month assignment and work from anywhere in the United States. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the state of California. As this is a temporary assignment, only government mandated benefits will be provided. Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

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.

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.

Applying creative solutions which result in the best financial outcome.

Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).

Having an appreciation and passion for strong claim management.

A practical knowledge of adjudicating workers' compensation claims through:

A minimum of five years' experience adjudicating workers' compensation claims in the CA jurisdiction.

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.

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).

Strong claim negotiation skills a must.

Must possess a strong customer focus.

Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.

Proficient in MS Office Suite and other business-related software.

The ability to read and write English fluently is required.

Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: $37.66 – $44.33 per hour

California outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 – $48.79 per hour

Los Angeles, New York City and San Francisco metro areas Pay Ranges: $45.11 – $53.16 per hour

About Working in Claims at Argo Group

Argo Group does not treat our claims or our claims professionals as a commodity. 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 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 do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship, 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 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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Vacancy posted 1 day ago
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