TEMP- Claims Adjuster

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Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

Business Title(s):TEMP- Claims Adjuster

Employment Type:Temporary

FLSA Status:Non-Exempt

Location:In-Officeor Remote

Summary:

We are looking for a highly capable Workers’ Compensation Claims Adjuster to help us on a temporary estimated two-month assignment and work from anywhere in the United States.
This role will adjudicate indemnity workers’ compensation claims of higher technical complexity for our customers in the state of Arizona. If the candidate has California experience, then California claims will also be assigned. But California experience and licensing is not required. As this is a temporary assignment, only government mandated benefits will be provided.
Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate, and employees are expected to work overtime when required.

Essential 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.

What We Need:

• A practical knowledge of adjudicating workers’ compensation claims through:
  • A minimum of five years’ experience adjudicating workers’ compensation claims in the AZ jurisdiction. Experience with the CA jurisdiction is helpful but not required.
  • Bachelor’s degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating medical only claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • AZ license required at start of assignment. A CA SIP License or both WCCA and WCCP designations is helpful but not required.
• 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.
• 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.

• Colorado outside of Denver metro, Maine, Maryland, Nevada, Rhode Island and Virginia Pay Ranges:$37.66 – $44.33 per hour
• California outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges:$41.44 – $48.79 per hour
• Los Angeles, New York City and San Francisco metro areas Pay Ranges:$45.11 – $53.16 per hour

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.

 

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