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Argo Group · 1 day ago

Workers' Compensation Claims Adjuster

Omaha, NE

Full-time

Onsite

Entry, Mid Level

$86K/yr - $102K/yr

2+ years exp

Argo Group is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions. They are seeking a Workers’ Compensation Claims Adjuster to join their Claims team, responsible for adjudicating complex workers’ compensation claims and managing the claims process effectively.

MobileSoftware

No H1B

Responsibilities

Adjudicate workers’ compensation claims of higher technical complexity within established authority

Investigate claims promptly and thoroughly, including interviews, documentation review, and coverage analysis

Identify loss drivers and claim trends to reduce frequency and severity through strong claim management

Report trends and developments to claims leadership and underwriters

Manage litigated files and maintain proper reserves aligned with Argo’s reserving philosophy

Ensure timely movement of claims through effective diary and workflow management

Coordinate internal and external resources to support resolution strategies

Prepare accurate, concise file documentation and management reporting

Negotiate timely, cost-effective claim resolutions within authority

Communicate professionally with insureds, claimants, attorneys, and internal stakeholders

Prioritize workload, manage correspondence, and maintain disciplined claim handling practices

Qualification

Workers' compensation claimsClaims adjudicationCustomer service focusBusiness acumenTime managementCuriosityMS Office proficiencyDispute resolutionEffective communicationProblem-solvingFlexibility

Required

Practical knowledge of workers' compensation claims, as well as an exceptional customer service focus typically obtained through:

Bachelor's degree or two insurance designations or four additional years of WC adjusting experience

Minimum 2 years' experience adjudicating workers' compensation claims in AZ, CA, and MA

Licensed in FL, GA, or TX, with the ability to quickly obtain all required jurisdictional licenses (within 120 days)

Strong business acumen and understanding of how claim outcomes impact profitability

Proven ability to exercise discretion, independent judgment, and sound 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

Uses listening and questioning techniques to effectively gather information from insureds and claimants

Customer-focused approach with the ability to articulate claim value to stakeholders at all levels, including executives

Understanding of dispute-resolution mechanisms such as mediation and arbitration

Must demonstrate a desire for continued professional development through continuing education and self-development opportunities

Proficient in MS Office and relevant business software; fluent in English