Workers' Compensation Claims Adjuster

Summary

Join Argo Group as a highly capable Workers' Compensation Claims Adjuster to adjudicate workers' compensation indemnity claims and contribute to providing superb results for our clients.

Responsibilities

• Adjudicate workers' compensation indemnity claims of higher technical complexity on assignments reflecting potentially with a direct impact on departmental results
• Solve difficult problems that requires an understanding of a broader set of issues
• Report to senior management and underwriters on claims trends and developments
• Investigate 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
• Investigate claims promptly and thoroughly, including interviewing all involved parties
• Manage claims in litigation
• Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution
• Properly set claim reserves
• Identify, assign, and coordinate 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.)