TEMP-Claims Adjuster

BP&C • Omaha, NE

11d • Remote

About The Position

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of KY, MD, PA, UT, VA, WV. As this is a temporary assignment, only government-mandated benefits will be provided. Although Rockwood underwrites general liability insurance and workers’ compensation for many types of businesses, our specialty is 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 us apart from other insurance carriers in this niche market. Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

Requirements

• A practical knowledge of adjudicating workers' compensation claims through:
• Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
• The ability to read and write English fluently is required.
• Polished and professional written and verbal communication skills.
• Proficient in MS Office Suite and other business-related software.
• Intellectual curiosity.
• Consistently considers all options and is not governed by conventional thinking.
• Demonstrates inner strength.
• Has the courage to do the right thing and demonstrates it on a daily basis.
• Must work independently and demonstrate the ability to exercise sound judgment.
• Ability to articulate the financial value of your work at multiple responsibility levels inside our clients’ business which may include CEO.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• Must possess a strong customer focus.
• Strong claim negotiation skills a must.
• Excellent evaluation and strategic skills required.
• Desire to work in a fast-paced environment.
• Exhibit natural curiosity
• Must have excellent communication skills and the ability to build lasting relationships.
• 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 KY claims license ( required at time assignment starts).
• The ability to secure a license in WV within 90 days of the assignment starting is required.
• A minimum of two years’ experience adjudicating indemnity workers' compensation claims in KY & PA is required.
• Bachelor’s degree from an accredited university required.
• Two or more insurance designations or four additional years of related experience adjudicating indemnity claims beyond the minimum experience required above may be substituted in lieu of a degree.
• 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.

Nice To Haves

• Working knowledge of the MD, UT, VA, & WV is strongly preferred, but not required.

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.

Benefits

• only government-mandated benefits will be provided
• 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: Mid Level