Workers' Compensation Claims Adjuster

Illinois Association of Mutual Insurance Companies • Chicago, IL, United States • $200k - $250k / year • 4h ago

We are looking for a highly capable Workers' Compensation Claims Adjuster to join our team and work from one of our US Offices. This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, & TX.

How You Will Make an Impact:

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.

What We Need:

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 practical knowledge of adjudicating workers' compensation claims through:
- A minimum of two years’ experience adjudicating workers' compensation claims in one or more of the following jurisdictions: AR, LA, MA, or TX.
- Bachelor’s degree from an accredited university required. 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.
Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate claims.
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.

Physical Demands:

Unless otherwise specified below as an essential function of the job, this role generally operates within a standard office environment requiring the use of a PC and other related office equipment.

About Working in Claims at Argo Group:

Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.
We have a very flat organizational structure, enabling our employees to have more interaction with our senior management team, especially when it relates to reviewing large losses.
Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

How We Work - Our Employee Values:

Employees at Argo thrive together as a responsible, profitable specialty insurer where all stakeholders share in our success.

We are committed to:

Demonstrate entrepreneurial spirit: Get the job done in a non-bureaucratic, resourceful manner.
Create a culture of accountability ensuring the delivery of world-class products and services. Do the right thing: Act with integrity always.
Adhere to the commitments set forth in the Argo Group Environmental, Social and Governance program.
Collaborate: Create an open and transparent environment in which diverse experience, skill sets, and individuals can team together to drive optimal outcomes.
Encourage and include unique perspectives at all times.
Respect each other: Create an environment that promotes dialogue, mutual support and cooperation between and among all, where people are fun to be around, proud of what they do, and willing to achieve beyond normal expectations.

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