Business Title(s): Senior Workers' Compensation Claims Adjuster
Employment Type: Full-Time
FLSA Status: Exempt
Location: In-Office
Summary: We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to join our Claims team and work from either our Omaha, NE office. Alternatively, we are also open to filling the position in Richmond, VA and Chicago, IL. The position reports to a manager based in Rockwood, PA. This role will be adjudicating Workers' Compensation claims in the jurisdictions of WV, GA, AL and FL in order to provide superb results for our clients.
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 limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims, reflecting potentially significant impact on departmental results. Workers' Compensation claims experience may be leveraged as needed to support the broader claims portfolio.
- Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long-lasting connections with our insured and brokers.
- Solving difficult problems that requires an understanding of a broader set of issues.
- Reporting to senior management, loss control, 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.
- Writing own coverage letters.
- 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.
- Creating and reviewing 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.
- Settling straightforward claims in line with authority limits and adheres to organizational referral procedures
- Negotiating 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: - An advanced knowledge of workers' compensation, as well as an exceptional customer service focus typically obtained through:
- A minimum of five years' experience adjudicating indemnity workers' compensation claims is required
- Experience handling workers' compensation claims in any of the following jurisdictions is strongly preferred: WV, GA, AL and FL
- Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating workers' compensation claims beyond the minimum experience required above may be substituted in lieu of a degree.
- Must be able to obtain and retain licenses in assigned jurisdictions within 120 days of identification of 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).
- Must have excellent communication skills and the ability to build lasting relationships.
- Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that are difficult that requires an understanding of a broader set of issues.
- Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation.
- 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.
- Excellent evaluation and strategic skills required.
- 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.
- Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
- Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
- Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
- Uses listening and questioning techniques to effectively gather information from insureds and claimants
- 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.
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: $101,184 - $119,782
- Chicago Pay Range: $111,384 - $132,498
Benefits and CompensationWe 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.
