Workers' Compensation Associate Claims Adjuster

Brookfield Wealth Solutions, Ltd•Chicago, IL

8d•$62,322 - $80,784•Onsite

About The Position

Argo Group is seeking a Workers’ Compensation Associate Claims Adjuster to adjudicate workers’ compensation indemnity claims and deliver strong results for clients. The position may be based in the Omaha, Nebraska; Chicago, Illinois; or Richmond, Virginia office, and reports to a manager in Rockwood, Pennsylvania. This is a 100% in-office role requiring work at a designated company office during standard business hours. The adjuster handles claims in New York, New Jersey, Maryland, Connecticut, and Massachusetts; experience in Missouri, Kansas, South Dakota, and Iowa is preferred but not required. Working under moderate supervision and within defined authority, the adjuster manages claims of moderate technical complexity. The role involves investigating and evaluating coverage, managing litigation and claim files, setting and reviewing reserves, coordinating expertise resources, negotiating settlements, and maintaining timely communication and documentation. The adjuster also identifies loss drivers and trends and works with clients, insureds, brokers, claimants, underwriters, and claims management to achieve timely, cost-effective outcomes. The role requires a bachelor’s degree or an accepted substitute, at least one year of workers’ compensation claims adjudication experience in Pennsylvania, Kentucky, and New York, strong customer service and negotiation skills, and proficiency with Microsoft Office and other business software. Argo offers a competitive compensation package, performance-based incentives, and a comprehensive benefits program. The position is eligible for an annual bonus based on company and individual performance.

Requirements

Bachelor’s degree from an accredited university; two or more insurance designations or four additional years of related workers’ compensation claims adjudication experience beyond the minimum may substitute for the degree.
At least one year of experience adjudicating workers’ compensation claims in Pennsylvania, Kentucky, and New York.
Practical knowledge of workers’ compensation claims and a strong customer service focus.
Good business acumen, including understanding how an insurance company operates and how the role affects profitability for Argo Group and its customers.
Ability to exercise discretion and independent judgment on significant matters.
Strong execution and results orientation, including resourcefulness, solution focus, and ability to work through adversity and change.
Ability to determine client needs and provide value-added solutions.
Ability to develop and maintain productive relationships with clients, business partners, and colleagues, exchanging information in a timely and meaningful way.
Effective time management and ability to prioritize multiple tasks and deadlines.
Curiosity and willingness to consider options beyond conventional approaches.
Excellent evaluation and strategic skills.
Strong claims negotiation skills and a proactive, pragmatic approach to negotiation. Associate Adjuster candidates should have a working understanding of negotiation; additional training will be provided.
Understanding of claim settlement dispute resolution mechanisms, including arbitration and mediation, and when they are used.
Proficient in Microsoft Office Suite and other business-related software.
Ability to use listening and questioning techniques to gather information from insureds and claimants.
Polished and professional written and verbal communication skills, with the ability to present information clearly, concisely, and accurately.
Fluent in reading and writing English.
Desire for continued professional development through continuing education and self-development.
Must be legally authorized to work in the United States; employment visa sponsorship is not available.

Nice To Haves

Experience in Missouri, Kansas, South Dakota, or Iowa workers’ compensation jurisdictions.
Working knowledge of New Jersey jurisdiction.
Negotiation skills; training will be provided for Trainee-level candidates, while Associate Adjuster candidates are expected to have a working understanding.

Responsibilities

Adjudicate workers’ compensation indemnity claims of moderate technical complexity within defined limits and authority.
Provide client-focused service and develop lasting relationships with insureds and brokers.
Resolve claim issues and report claims trends and developments to claims management and underwriters.
Identify loss drivers and claims trends through data analysis and improved claim management.
Investigate claims promptly and thoroughly, including interviewing involved parties.
Review claim forms, policies, endorsements, client instructions, and other records to determine coverage.
Manage claims in litigation and maintain timely diaries and task completion to support favorable financial outcomes and resolution.
Create and review reserves in accordance with market practices and Argo’s reserving policy.
Identify and coordinate appropriate expert resources to assist with claim resolution.
Prepare reports and document claim files.
Develop and apply solutions that achieve favorable financial outcomes.
Settle straightforward claims within authority limits and follow organizational referral procedures.
Negotiate timely and effectively within authority to find cost-effective solutions for the company and its customers.
Process mail and prioritize workload.
Complete calls and written correspondence with insureds, claimants, and other parties.