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American National · 2 days ago

Workers' Compensation Claims Adjuster - Temp

United States

Full-time

Remote

Entry, Mid Level

$37.66/hr - $53.16/hr

2+ years exp

American National is a leading provider of workers' compensation insurance, particularly focused on the mining industry. They are seeking a highly capable Workers' Compensation Claims Adjuster to adjudicate complex claims and ensure excellent service for clients.

Auto InsuranceFinancial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

No H1B

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

Qualification

Workers' compensation claimsClaims negotiationClaims investigationBusiness acumenMS Office SuiteIntellectual curiosityCommunication skillsTime managementCustomer focusProblem-solving

Required

A minimum of two years' experience adjudicating indemnity workers' compensation claims in one or more of the following jurisdictions: IL, IN, KY, NY, PA, and/or VA

Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating indemnity claims beyond the minimum experience required above may be substituted in lieu of a degree

Must be licensed in KY and NY

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