Workers' Compensation Claims Adjuster jobs in United States
cer-icon
Apply on Employer Site
company-logo

Argo Group · 1 day ago

Workers' Compensation Claims Adjuster

Argo Group is a leading wealth solutions provider focused on securing financial futures through various services. They are seeking a Workers’ Compensation Claims Adjuster to adjudicate indemnity claims and deliver exceptional outcomes for clients across multiple jurisdictions.

MobileSoftware
badNo H1Bnote

Responsibilities

Adjudicate workers’ compensation claims of higher technical complexity within defined authority
Resolve moderately complex issues requiring broad understanding of claims processes and business impact
Investigate claims promptly and thoroughly, including interviews and documentation review
Evaluate policies, endorsements, and client instructions to determine coverage
Manage litigated claims and maintain accurate reserves aligned with Argo policy
Ensure timely file progression through effective diary management and task completion
Identify loss drivers, trends, and opportunities to reduce frequency and severity
Prepare clear, concise claim reports and maintain complete, accurate documentation
Apply creative solutions and negotiate cost-effective settlements within authority
Coordinate internal and external expert resources as needed for case resolution
Communicate professionally with insureds, claimants, attorneys, underwriters, and management
Prioritize workload, process mail, and manage correspondence efficiently
Demonstrate strong claim management fundamentals and a consistent client-focused mindset

Qualification

Workers' compensation claimsClaims negotiation skillsCustomer service focusBusiness acumenTime managementBachelor’s degreeInsurance designationsProficient in MS OfficeCuriosityFluent in EnglishEffective communicationProblem-solving

Required

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 WC adjusting experience in lieu of degree
Minimum 2 years' experience adjudicating workers' compensation claims in CT, DE, MA, ME, NH, RI, VT
Licensed in FL, GA, or TX; must be able to quickly obtain other required jurisdictional licenses (within 120 days)
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

Benefits

Health
Dental
Vision
401(k) with company match
Paid time off
Professional development opportunities

Company

Argo Group

company-logo
Argo Group is a U.S.-focused underwriter of specialty insurance products in the property and casualty market.

Funding

Current Stage
Late Stage
Total Funding
$17.87M
Key Investors
Apax Partners
1999-12-07Series Unknown· $17.87M

Leadership Team

leader-logo
Chris Claiborne
Chief Operating Officer, Argo Group US
linkedin
leader-logo
Brandon Pinzon
SVP, Chief Security Officer
linkedin

Recent News

Company data provided by crunchbase