Workers' Compensation Claims Adjuster

Brookfield Wealth Solutions, Ltd•Chicago, IL

1d•$78,336 - $101,490•Onsite

About The Position

We are seeking a highly capable Workers’ Compensation Claims Adjuster to join our in-office team (5 days/week) from our Omaha, NE office. Alternatively, this role can be filled in our Chicago, IL or Richmond, VA offices. This role is focused on adjudicating workers’ compensation indemnity claims in the jurisdictions of PA, KY and NY and contribute to providing superb results for our clients. Experience in the jurisdictions of NJ is preferred but not required. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Requirements

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 Indemnity Workers’ Compensation adjusting experience in lieu of degree.
Minimum 2 years’ experience adjudicating workers’ compensation claims in the jurisdiction of PA, KY and NY. Experience in NJ is preferred but not required.
Must be able to obtain and retain licenses where applicable in assigned jurisdictions within 120 days of identification of need.
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.

Nice To Haves

Experience in the jurisdictions of NJ is 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 claims management and underwriters on claims trends and developments.
Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
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.
Creates and reviews reserves in line with market and Argo's reserving policy
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.
Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
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.