Workers' Compensation Claims Adjuster

Argonaut Management Services, Inc • Richmond, VA, United States • $86k - $101.50k / year • 3d 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

We are seeking a highly capable Workers' Compensation Claims Adjuster to join our in-office team (5 days/week) from either our Rockwood, PA or Omaha, NE offices.Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, Richmond, VA or Springfield, MO. This role reports to a manager in North Carolina and focuses on adjudicating workers' compensation indemnity claims in CT, DE, MA, ME, NH, RI, and VT, along with additional jurisdictions. You'll play a meaningful role in delivering exceptional outcomes for our clients.

Primary Responsibilities

Adjudicate workers' compensation claims of higher technical complexity within defined authority.
Resolve moderately complex issues requiring broad understanding of claims processes and business impact.
Investigate claims promptly and thoroughly, including interviews and documentation review.
Evaluate policies, endorsements, and client instructions to determine coverage.
Manage litigated claims and maintain accurate reserves aligned with Argo policy.
Ensure timely file progression through effective diary management and task completion.
Identify loss drivers, trends, and opportunities to reduce frequency and severity.
Prepare clear, concise claim reports and maintain complete, accurate documentation.
Apply creative solutions and negotiate cost-effective settlements within authority.
Coordinate internal and external expert resources as needed for case resolution.
Communicate professionally with insureds, claimants, attorneys, underwriters, and management.
Prioritize workload, process mail, and manage correspondence efficiently.
Demonstrate strong claim management fundamentals and a consistent client-focused mindset.

Core Qualifications

Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:
Bachelor's degree required, OR two insurance designations OR four additional years of WC adjusting experience in lieu of degree.
Minimum 2 years' experience adjudicating workers' compensation claims in CT, DE, MA, ME, NH, RI, VT.
Licensed in FL, GA, or TX; must be able to quickly obtain other required jurisdictional licenses (within 120 days).

Strong business acumen and understanding of how claim outcomes impact profitability.
Proven ability to exercise sound judgment and independent decision-making.
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.
Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Excellent evaluation and strategic skills required.
Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates. Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed with additional training.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
Ability to thrive in a fast-paced, evolving environment with multiple priorities.
Uses listening and questioning techniques to effectively gather information from insureds and claimants
Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership.
High degree of professionalism, curiosity, integrity, and willingness to do the right thing.
Proficient in MS Office and related business systems; fluent in English.
Commitment to ongoing professional development.

Salary Range

Albany & Chicago: $86,000-$101,500
Los Angeles & New York City: $93,750-$110,500
Compensation varies by location and experience. All employees are eligible for an annual bonus and a comprehensive benefits package.

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.

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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.