Senior Workers' Compensation Claims Adjuster

Argonaut Management Services, Inc • Richmond, VA, United States • 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

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 Rockwood, PA or Omaha, NE offices.Alternatively, we can also fill this role in our offices in Richmond, VA or Springfield, MO. The position reports to a manager based in Rockwood, PA. This role will beadjudicatingworkers' compensation claims in thejurisdictionsof CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV and contribute to providing superb results for our clients. Approximately 20% of the claims assigned to this position are covered by the federal black lung program.

Although Rockwood underwrites general liability insurance and workers' compensation for many types of businesses, ourspecialtyis underwriting workers' compensation insurance for the mining industry, with a focus on the coal-mining industry.Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness.Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.

This is a 100%in-office position. Candidates must be able to work on-site at a designated company officeduring standard business hours.

Essential Responsibilities:

Working under limited technical direction and within broad limits and authority,adjudicatehighly complexindemnity and federal black lung workers' compensation claims on assignments reflectingpotentially withsignificant impact on departmental results. In addition,adjudicatemedical-only claims reported by the account as well.Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful andlong-lastingconnections with our insured and brokers.

Solving difficult problems that requires an understanding of a broader set of issues.

Reporting to senior management, losscontrol, and underwriters on claims trends and developments.

Identifyingloss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.

Investigating claims promptly and thoroughly

Analysingclaims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.

Investigating claims promptly and thoroughly, including interviewing all involved parties.

Managing claims in litigation

Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.

Creating and reviewing reserves in line with market and Argo's reserving policy

Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin 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 ina timelyand 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:

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).

An advanced knowledge ofworkers' compensationclaims through:

Aminimum of five years' experienceadjudicatingworkers' compensationclaimsin any of the followingjurisdictions: CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.

Bachelor's degree from an accredited university required.Two or more insurance designations or fouradditionalyears of related experienceadjudicatingworkers' compensationclaims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.

Must be licensed in KYor have ability to quickly obtain a license toadjudicatefirst party claims.

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 skillsa 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 effectivelydeterminespecific 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 afast-pacedenvironment that is evolving constantly.

Excellent evaluation and strategic skillsrequired.

Mustpossessa 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 anddemonstratesiton a daily basis.

Exhibit natural and intellectual curiosityin order toconsistently 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 isrequired.

Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.

About Working in Claims at Argo Group

Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.

We have a very flat organizational structure, enabling our employeeshavemore 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 offer a work environment that inspires innovation and is open to employee suggestions. 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 encourage talented people from all backgrounds to apply.

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.