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

American National · 1 day ago

Workers’ Compensation Claims Adjuster

American National is a leading provider of wealth and insurance solutions, and they are seeking a highly capable Workers’ Compensation Claims Adjuster to join their team. This role focuses on adjudicating workers’ compensation indemnity claims across multiple jurisdictions, playing a meaningful role in delivering exceptional outcomes for clients.
FinanceHealthcareProperty & Casualty InsuranceHealth InsuranceAuto InsuranceFinancial ServicesHealth CareInsuranceLife Insurance
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 adjudicationNegotiation skillsCustomer service focusBusiness acumenTime managementDocumentation skillsBachelor's degreeMS Office proficiencyCuriosityEffective communicationProblem-solvingFlexibility

Required

Bachelor's degree required, OR two insurance designations OR four additional years of Indemnity Workers' Compensation adjusting experience in lieu of degree
Minimum 2 years' experience adjudicating workers' compensation claims in one or more of the following jurisdictions: AZ, CA, CO, FL, GA, MA, and NM
Licensed in CA, FL, RI, 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
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
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

American National

company-logo
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
linkedin
Company data provided by crunchbase