Workers' Compensation Claims Examiner

Argonaut Management Services, Inc • Chicago, IL, United States • $69.46k - $140.86k / year • 1d ago

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

PURPOSE OF THE JOB:

The Examiner are responsible for the oversight of Workers Compensation claims being handled by 3rd party TPAs. This will include the investigation, evaluation, negotiation and settlement of claims. This includes analyzing coverage, and ensure reserves are appropriate in accordance with the company guidelines. Examiners are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Examiners work closely with TPAs, other departments, vendors and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to millions of dollars.

ESSENTIAL FUNCTIONS:

P&C - Oversight of Multi state Workers Compensation Claims
Handles Large Loss Reporting and Reinsurance Notifications.
Reviews, interprets, summarizes and communicates concerns or opportunities related to the TPA claim handling.
Oversight of files in excess of a million dollars or complex coverage issues.
Provides day-to-day assistance to the management team as it relates to technical handling questions, research and file strategy.
Completes targeted audits and other special projects.

QUALIFICATIONS:

8 years' claims experience in handling Workers Compensation Claims.
Maintain Continuing Education (CE) requirements for state licensing when appropriate.

PREFERENCES:

Bachelor's degree in a related field or the equivalent years' work experience.

JOB FAMILY:

Claims Representative

Sr. Claims Representative

Claims Specialist

Sr. Claims Specialist

Claims Examiner

Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Salary range is $ 69,462.00 - 140,862.00 USD Annual

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 210-321-8400.

Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

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. We do not tolerate discrimination or harassment based on any of these characteristics.

The collection of your personal information is subject to ourHR Privacy Notice

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.