Talent.com
Senior Workers' Compensation Claims Adjuster
Senior Workers' Compensation Claims AdjusterArgonaut Management Services, Inc • New York, NY, United States
Senior Workers' Compensation Claims Adjuster

Senior Workers' Compensation Claims Adjuster

Argonaut Management Services, Inc • New York, NY, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Argo Group International Holdings, Inc . and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Job Description

A Brief Overview

We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to join our Claims teamand work from any US Argooffice. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability.The position reports to a manager based in North Carolina. This role will be adjudicating workers' compensation claims in the jurisdictions of LA, MA, and OK and contribute to providing superb results for our clients.

The primary duties and responsibilities of the role are :

  • Working under limited technicaldirection and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
  • Solving difficult problems that requires an 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
  • Processing mail and prioritizing workload.
  • Completing telephone calls and written correspondence to / from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Core qualifications and requirements for this position include :

  • 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).
  • An advanced knowledge of workers' compensation claims through :
  • A minimum of five years ' experience adjudicating workers' compensation claims in the jurisdictions of LA, MA, and / or OK .

  • Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating workers' compensation claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • Must be licensed in LA or have ability to quickly obtain a license to adjudicate first party claims.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance.This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues.
  • Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation.
  • Desire to work in a fast-paced environment.
  • Excellent evaluation and strategic skills required.
  • 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.
  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
  • Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
  • Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
  • Uses listening and questioning techniques to effectively gather information from insureds and claimants
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills.
  • The ability to read and write English fluently is required.
  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
  • The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Chicago Pay Range : $109,200 - $129,900
  • Los Angeles and New York City Pay Range : $119,100-$141,800
  • About Working in Claims at Argo Group

    Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.

    Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.

    We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.

    Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.

    We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

    PLEASE NOTE :

    Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

    If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

    Notice to Recruitment Agencies :

    Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

    We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

    The collection of your personal information is subject to our HR Privacy Notice

    Benefits and Compensation

    We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

    [job_alerts.create_a_job]

    Claim Adjuster • New York, NY, United States

    [internal_linking.related_jobs]
    Senior Claims Adjuster

    Senior Claims Adjuster

    QBE Insurance • New York, NY, US
    [job_card.full_time]
    We are seeking a highly skilled and motivated Senior Claims Adjuster to join our dynamic team.This role is pivotal in supporting the implementation of our Claims strategy and ensuring the delivery ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Worker's Compensation Claims Supervisor

    Worker's Compensation Claims Supervisor

    Highview National Insurance Company • Rockland County, NY, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Worker’s compensation insurance is a headache.We make it simple, smooth, and stress free.Join us in redefining workers’ comp. The Workers' Compensation Claims Supervisor oversees a team ...[show_more]
    [last_updated.last_updated_30]
    Complex Workers Compensation Adjuster

    Complex Workers Compensation Adjuster

    AmTrust Financial • New York, NY, United States
    [job_card.full_time]
    Complex Workers Compensation Adjuster.We are hiring for our Western and Central zone.Ideal candidate will have required experience in the jurisdiction of California with additional preferred experi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Liability Claims Adjuster

    Liability Claims Adjuster

    Generali Global Assistance • New York, NY, US
    [job_card.full_time]
    The North American branch of Generali Global Assistance offers a diverse and inclusive work environment while employees work towards making real difference in the lives of our clients.As an Organiz...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Adjustment Specialist I

    Claims Adjustment Specialist I

    MetroPlus Health Plan • New York, NY, United States
    [job_card.full_time] +1
    Claims Adjustment Specialist I.Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege.If you have co...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Companionship & Care Aide

    Senior Companionship & Care Aide

    Papa Inc. • Avon-by-the-Sea, NJ, US
    [job_card.full_time]
    Papa facilitates these connections through its technology platform.We’re looking for kind, patient, and caring people who want to make a positive difference by offering companionship and ever...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Outpatient Physical Therapist - $2,414 per week

    Travel Outpatient Physical Therapist - $2,414 per week

    Jackson Therapy Partners • Wall Township, NJ, United States
    [job_card.full_time] +1
    Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Wall Township, New Jersey. Job Description & Requirements.Looking for a change of scenery and a chance ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Earn up to $25 per survey Online Survey Taker - Flexible Remote Work Environment (Hiring Immediately)

    Earn up to $25 per survey Online Survey Taker - Flexible Remote Work Environment (Hiring Immediately)

    Earn Haus • Bradley Gardens, New Jersey, US
    [filters.remote]
    [job_card.full_time] +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Workers Compensation Claims Team Lead | New York Jurisdiction | Dedicated Client

    Workers Compensation Claims Team Lead | New York Jurisdiction | Dedicated Client

    NYC Staffing • New York, NY, US
    [job_card.full_time]
    Workers' Compensation Claims Team Lead.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claim Administrator II

    Claim Administrator II

    Barasch & McGarry • New York, NY, US
    [job_card.full_time]
    The Claim Administrator (CA) is responsible for the timely processing and management of clients' Victim Compensation Fund (VCF) claims. The CA ensures all claims are accurately recorded in internal ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Workers' Compensation Claims Adjuster

    Senior Workers' Compensation Claims Adjuster

    Argonaut Management Services, Inc • New York, NY, United States
    [job_card.full_time]
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Client Solutions Advisor (Hiring Immediately)

    Client Solutions Advisor (Hiring Immediately)

    Optimum • Tinton Falls, NJ, US
    [job_card.full_time] +1
    Are you looking to Optimize your life? Start your exciting path to a rewarding career today!.We are Optimum, a leader in the fast-paced world of connectivity, and we're on the hunt for enthusiastic...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Management & Coverage Counsel

    Claims Management & Coverage Counsel

    Wilson Elser Moskowitz Edelman & Dicker LLP • New York, NY, United States
    [job_card.full_time]
    Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms. We're also Mansfield Certified P...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Licensed Recent CDL-A Graduates - Home Time - Avg. Up to $75,000 / Year

    Licensed Recent CDL-A Graduates - Home Time - Avg. Up to $75,000 / Year

    Melton Truck Lines • Yonkers, NY, United States
    [job_card.full_time]
    Melton Truck Lines is Now Hiring Recent CDL-A Graduates and Entry Level Drivers.Comprehensive Flatbed Training.No-Touch Freight - Flexible Home Time. Applicants must have a valid CDL-A license.Earn ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Paid Clinical Trial Participants (Hiring Immediately)

    Paid Clinical Trial Participants (Hiring Immediately)

    Maxion Research • Passaic, New Jersey, US
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Bodily Injury Claims Adjuster, RideshareRemote Atlanta, Georgia, United States

    Bodily Injury Claims Adjuster, RideshareRemote Atlanta, Georgia, United States

    Reserv • Brooklyn, NY, US
    [job_card.full_time]
    Bodily Injury Claims Adjuster, Rideshare.Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims.Founded by insurtech v...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Labor Counsel

    Labor Counsel

    Montefiore Health System • Yonkers, NY, US
    [job_card.full_time]
    Montefiore is seeking an experienced Labor Counsel to represent the organization and support the effective administration of collective bargaining agreements. The ideal candidate will bring deep exp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Paid Focus Group Contributor (Hiring Immediately)

    Paid Focus Group Contributor (Hiring Immediately)

    Maxion Research • Middletown, New Jersey, US
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]