[Remote] Workers’ Compensation Claims Adjuster

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. Argo Group is a leading wealth solutions provider focused on securing the financial futures of individuals and institutions. They are seeking a highly capable Workers' Compensation Claims Adjuster to adjudicate indemnity workers' compensation claims of higher technical complexity, with a direct impact on departmental results. Responsibilities • 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. Skills • 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. • 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. Education Requirements • 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. Benefits • Health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities Company Overview • Argo Group is a U.S.-focused underwriter of specialty insurance products in the property and casualty market. It was founded in 1996, and is headquartered in Elstead, Surrey, GBR, with a workforce of 501-1000 employees. Its website is Apply tot his job
Apply Now

Similar Jobs

Remote Data Entry Associate

Remote, USA Full-time

Registered Nurse Coordinator – Night Shift, Remote EST hours

Remote, USA Full-time

Clinical Quality Assurance Registered Nurse 100% Remote

Remote, USA Full-time

Coding & Billing Specialist (part-time)

Remote, USA Full-time

English (United States) AI Prompt Creation Opportunity - Full Training Provided for Remote Workers

Remote, USA Full-time

[Remote] Analyst- Audience Strategy

Remote, USA Full-time

Remote Sales Closer – High-Ticket Digital Marketing ($300–$500 Commissions per Sale)

Remote, USA Full-time

Work From Home Account Executive

Remote, USA Full-time

Sr. Software Engineer (REMOTE)

Remote, USA Full-time

Oncology Customer Service Support Representative - Remote

Remote, USA Full-time

Structural Engineer HYBRID REMOTE

Remote, USA Full-time

**Experienced Online Chat Specialist – Deliver Exceptional Customer Support Experience**

Remote, USA Full-time

Experienced Remote Data Entry Assistant – Typing and Clerical Support Specialist for Blithequark's Accounting and Finance Team

Remote, USA Full-time

Experienced Pediatric Occupational Therapist - Clinic and Home Health Settings - Career Growth Opportunities and Competitive Compensation Package

Remote, USA Full-time

Legal Counsel

Remote, USA Full-time

**Experienced Data Entry Professional – Remote Work Opportunity at arenaflex**

Remote, USA Full-time

Senior Associate, Supplier Support - Remote - $25/Hr - Wayfair's Dynamic Team

Remote, USA Full-time

Marketing Manager, Promotions

Remote, USA Full-time

Experienced Remote Customer Service Representative – Delivering Exceptional Support and Solutions from the Comfort of Your Own Home with blithequark

Remote, USA Full-time

Experienced Full-Time Data Entry Operator – Remote Typist Position with Flexible Work-from-Home Options at Blithequark

Remote, USA Full-time
Back to Home