Insurance Claims Specialist

2 days ago


New York, New York, United States Argo Group Full time

**About Us**

Argo Group is a leading specialty insurance provider, offering a range of innovative products and services designed to meet the unique needs of our clients. Our vibrant culture is built on respect, equality, wellness, and opportunity, making us an attractive employer for talented professionals.

We're looking for a highly skilled Workers' Compensation Claims Adjuster to join our team in the US. This role will involve adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in key jurisdictions.

Key Responsibilities
  • Working under technical direction, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
  • Investigate claims promptly and thoroughly, analyzing claims forms, policies, and other records to determine policy coverage.
  • Interview all involved parties and manage claims in litigation, ensuring timely resolution and financial outcome.
  • Set claim reserves and identify expertise resources to assist in case resolution.
  • Prepare reports for file documentation and negotiate settlements, applying creative solutions to achieve the best financial outcome.
Requirements
  • A minimum of two years' experience adjudicating workers' compensation claims in AR, LA, MA, or TX.
  • Bachelor's degree from an accredited university required, or equivalent experience.
  • Possess or quickly obtain a license in each jurisdiction requiring a license to adjudicate claims.
  • Excellent communication skills and ability to build lasting relationships, as well as natural curiosity and desire to work in a fast-paced environment.


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