Remote/Field Workers' Comp Claims Trainee

Argonaut Management Services, Inc; Omaha (NE); On-site; USD 42,000 - 62,000; Full time

Job summary

Argo Group seeks a Workers' Compensation Claims Trainee to adjudicate medical-only and select indemnity claims, working from home in New Mexico or from our Omaha office. The role reports to a manager based in Rockwood, PA and emphasizes timely, accurate claim handling with strong communication across stakeholders.

Responsibilities include contacting insureds, providers, and claimants; recording hours; and ensuring proper reserves and benefits.

Qualifications

• Advanced knowledge of medical-only workers' compensation claims.
• 6+ years adjudicating medical-only claims or in insurance/healthcare, bachelor’s may substitute 5 of 6 years.
• Licensed Claims Examiner in required jurisdictions or ability to obtain within 120 days.
• Strong communication and relationship-building skills.
• Proficient in MS Office and related business software.

Responsibilities

• Conduct thorough claim investigations by interviewing involved parties to determine compensability and subrogation potential.
• Manage medical-only and Black Lung claims and monitor biweekly or monthly benefit payments.
• Deny noncompensable claims and defend decisions if challenged.
• Ensure timely and accurate medical payments and proper reserve setting.
• Maintain diaries and prioritize tasks to resolve cases timely and financially.

Skills

MS Office Suite

Strong communication

Analytical thinking

Time management

Customer focus

Spanish (pref)

Education

High School diploma

Licensed Claims Examiner

Bachelor’s degree substitution clause

Tools

Medical terminology familiarity

Job description

Argo Group seeks a Workers' Compensation Claims Trainee to adjudicate medical-only and select indemnity claims, working from home in New Mexico or from our Omaha office. The role reports to a manager based in Rockwood, PA and emphasizes timely, accurate claim handling with strong communication across stakeholders.

Responsibilities include contacting insureds, providers, and claimants; recording hours; and ensuring proper reserves and benefits.