Senior Workers' Compensation Claims Adjuster

BP&C • Chicago, IL

23h • $109,200 - $141,800 • Onsite

About The Position

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 Albany, NY, Chicago, IL, Los Angeles, CA, New York, NY, Richmond, VA or Springfield, MO. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. The position reports to a manager based in North Carolina. This role will be adjudicating workers’ compensation claims in the jurisdictions of LA, MA, and OK and contribute to providing superb results for our clients.

Requirements

• 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 of workers’ compensation claims, as well as an exceptional customer service focus typically obtained through:
• A minimum of five years ’ experience adjudicating workers’ compensation claims in the jurisdictions of LA, MA, and/or OK .
• 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 licensed in LA or have ability to quickly obtain a license to adjudicate first 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 generalized and typically not complex, but require an understanding of a broader set of issues.
• Strong claim negotiation skills a must.
• Ability to take proactive and pragmatic approach to negotiation.
• Desire to work in a fast-paced environment.
• 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.

Responsibilities

• Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers’ compensation claims on assignments reflecting potentially with significant impact on departmental results.
• Solving difficult problems that requires an 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
• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 1,001-5,000 employees