Workers' Compensation Claims Adjuster

Argonaut Management Services, Inc; Michigan; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading insurance management firm is seeking a Workers' Compensation Claims Adjuster for a temporary assignment. The position allows for remote work across the United States with responsibilities including adjudicating complex claims, managing litigation, and engaging with various stakeholders. Candidates need 5+ years of relevant experience and a Bachelor's degree, with particular licenses required depending on jurisdiction. Competitive pay rates are offered based on location.

Qualifications

• A minimum of five years' experience adjudicating workers' compensation claims.
• License required in FL, RI, or TX.
• Ability to articulate the financial value of your work.

Responsibilities

• Adjudicate complex workers' compensation claims impacting departmental results.
• Investigate claims promptly and thoroughly.
• Manage claims in litigation.

Skills

Business acumen

Excellent communication skills

Claim negotiation skills

Effective time management

Customer focus

Education

Bachelor's degree

Tools

MS Office Suite

Job description

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.

Pay ranges for this role vary based on location, but some examples include: $47.69 - $56.78 per hour in Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island; $52.50 - $62.45 per hour in California outside of San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County); $57.26 - $68.17 per hour in New York City and San Francisco metro areas.

Equal Opportunity Employer

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.