Workers' Compensation Claims Adjuster jobs in United States
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American National · 2 months ago

Workers' Compensation Claims Adjuster

American National is a subsidiary of Brookfield Wealth Solutions, Ltd., focused on wealth protection and retirement services. They are seeking a Workers’ Compensation Claims Adjuster to adjudicate claims and ensure exceptional outcomes for clients, requiring strong judgment and negotiation skills.

Auto InsuranceFinancial ServicesHealth CareHealth InsuranceInsuranceLife Insurance
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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 ClaimsLicensing in FLGATXNegotiation skillsBachelor's degreeMS Office proficiencyCommunication skillsCustomer focusStrategic thinkingProblem-solving

Required

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
Strong execution skills—solution-oriented, resourceful, and effective under pressure
Excellent communication skills and ability to build productive relationships
Strong negotiation, evaluation, and strategic thinking skills
Ability to thrive in a fast-paced, evolving environment with multiple priorities
Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership
Understanding of dispute-resolution mechanisms (e.g., arbitration, mediation)
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

American National

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American National is an insurance company that provides life insurance, health insurance, and auto insurance services.

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-08-09Acquired

Leadership Team

M
Matthew Ostiguy
Senior Vice President, P&C Chief Operating Officer, American National Insurance Company
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Company data provided by crunchbase