Argonaut Management Services, Inc
Senior Workers' Compensation Claims Adjuster
Argonaut Management Services, Inc, Springfield, Missouri, us, 65897
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.
Senior Workers' Compensation Claims Adjuster Employment Type:
Full-Time
FLSA Status:
Exempt
Location:
In-Office (Rockwood, PA; Omaha, NE; Richmond, VA; Springfield, MO)
We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Richmond, VA or Springfield, MO. The position reports to a manager based in Rockwood, PA. This role will adjudicating workers' compensation claims in the jurisdictions of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV and contribute to providing superb results for our clients. Approximately 20% of the claims assigned to this position are covered by the federal black lung program.
Essential Responsibilities
Adjudicate highly complex indemnity and federal black lung workers' compensation claims with significant impact on departmental outcomes while providing laser-focused customer service.
Solving difficult problems that require a broad understanding of a set of issues.
Reporting to senior management, loss control, and underwriters on claims trends and developments.
Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Analyzing claims forms, policies and endorsements to determine coverage.
Managing claims in litigation and maintaining a complete case diary for timely resolution.
Creating and reviewing reserves in line with market and Argo's reserving policy.
Coordinating assignment of expertise resources to assist in case resolution.
Preparing reports for file documentation and applying creative solutions leading to the best financial outcome.
Settling straightforward claims within authority limits and adhering to organizational referral procedures.
Negotiating in a timely and effective manner to provide cost effective solutions within own limits using a range of negotiation styles.
Processing mail, prioritizing workload, and completing telephone calls and written correspondence to/from various parties.
Demonstrating a passion for strong claim management.
Qualifications / Experience Required
Must have good business acumen and an advanced knowledge of workers' compensation claims through adjudicating experience in CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Minimum of five years experience adjudicating workers' compensation claims.
Bachelor's degree from an accredited university required; two or more insurance designations or four additional years of related experience may substitute for a degree.
Must be licensed in KY or able to quickly obtain a license to adjudicate first party claims.
Excellent communication skills and the ability to build lasting relationships.
Ability to exercise discretion and independent judgment on matters of significance.
Strong claim negotiation skills and proactive, pragmatic approach to negotiation.
Strong focus on execution in getting things done right with proven ability to consistently produce and deliver expected results.
Solution-focused mindset, global thinking, and client focus with the ability to effectively determine specific client needs and provide value added solutions.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of work at multiple responsibility levels inside the client business.
Demonstrates inner strength, natural curiosity, and an understanding of mechanisms for resolving claims settlement disputes (arbitration, mediation) and when these are used.
Polished and professional written and verbal communication skills with fluent English writing and speaking ability.
Desire for continued professional development through continuing education and self-development opportunities.
Equal Opportunity Employer 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, childbirth, 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.
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.
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.
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.
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Senior Workers' Compensation Claims Adjuster Employment Type:
Full-Time
FLSA Status:
Exempt
Location:
In-Office (Rockwood, PA; Omaha, NE; Richmond, VA; Springfield, MO)
We are looking for a highly capable Senior Workers' Compensation Claims Adjuster to join our Claims team and work from either our Rockwood, PA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Richmond, VA or Springfield, MO. The position reports to a manager based in Rockwood, PA. This role will adjudicating workers' compensation claims in the jurisdictions of CO, KS, KY, MD, MI, MO, MT, PA, UT, and WV and contribute to providing superb results for our clients. Approximately 20% of the claims assigned to this position are covered by the federal black lung program.
Essential Responsibilities
Adjudicate highly complex indemnity and federal black lung workers' compensation claims with significant impact on departmental outcomes while providing laser-focused customer service.
Solving difficult problems that require a broad understanding of a set of issues.
Reporting to senior management, loss control, and underwriters on claims trends and developments.
Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Analyzing claims forms, policies and endorsements to determine coverage.
Managing claims in litigation and maintaining a complete case diary for timely resolution.
Creating and reviewing reserves in line with market and Argo's reserving policy.
Coordinating assignment of expertise resources to assist in case resolution.
Preparing reports for file documentation and applying creative solutions leading to the best financial outcome.
Settling straightforward claims within authority limits and adhering to organizational referral procedures.
Negotiating in a timely and effective manner to provide cost effective solutions within own limits using a range of negotiation styles.
Processing mail, prioritizing workload, and completing telephone calls and written correspondence to/from various parties.
Demonstrating a passion for strong claim management.
Qualifications / Experience Required
Must have good business acumen and an advanced knowledge of workers' compensation claims through adjudicating experience in CO, KS, KY, MD, MI, MO, MT, PA, UT, and/or WV.
Minimum of five years experience adjudicating workers' compensation claims.
Bachelor's degree from an accredited university required; two or more insurance designations or four additional years of related experience may substitute for a degree.
Must be licensed in KY or able to quickly obtain a license to adjudicate first party claims.
Excellent communication skills and the ability to build lasting relationships.
Ability to exercise discretion and independent judgment on matters of significance.
Strong claim negotiation skills and proactive, pragmatic approach to negotiation.
Strong focus on execution in getting things done right with proven ability to consistently produce and deliver expected results.
Solution-focused mindset, global thinking, and client focus with the ability to effectively determine specific client needs and provide value added solutions.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Ability to articulate the financial value of work at multiple responsibility levels inside the client business.
Demonstrates inner strength, natural curiosity, and an understanding of mechanisms for resolving claims settlement disputes (arbitration, mediation) and when these are used.
Polished and professional written and verbal communication skills with fluent English writing and speaking ability.
Desire for continued professional development through continuing education and self-development opportunities.
Equal Opportunity Employer 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, childbirth, 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.
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.
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.
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.
#J-18808-Ljbffr