TEMP-Workers' Compensation Claims Adjuster

Brookfield Wealth Solutions, LtdUS NM - Remote, NM
Remote

About The Position

Argo Group is seeking a temporary Workers' Compensation Claims Adjuster to work remotely from New Mexico. This role focuses on adjudicating workers’ compensation indemnity claims in AL, AZ, CO, & FL and indemnity and medical only claims in NM. The assignment has an estimated end date of October 9, 2026, with a possibility of becoming temp-to-hire for candidates with an AZ license. The role reports to a manager in North Carolina. As a temporary assignment, only government-mandated benefits will be provided. Contractors are required to accurately record all hours worked and submit timesheets. Overtime may be assigned and is expected when business needs dictate.

Requirements

  • A practical knowledge of adjudicating workers' compensation claims through: A minimum of five years’ experience adjudicating workers' compensation claims in CO & NM.
  • Bachelor’s degree from an accredited university required.
  • 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).
  • 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.

Nice To Haves

  • Jurisdictional expertise preferred in AL, AZ, & FL
  • Licenses preferred in AL, AZ, & FL
  • 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.

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

  • health
  • dental
  • vision
  • 401(k) with company match
  • paid time off
  • professional development opportunities
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