Argo Group
specialty insurance products in the property and casualty market
TEMPClaimsAdjuster
“TEMP- Claims Adjuster at Argo Group. Skills: adjudicating workers' compensation claims of higher technical complexity, claim negotiation skills, Excellent evaluation and strategic skills. adjudicate workers' compensation claims of higher technical complexity. Resolving issues that are generalized and typically not complex”
What You'll Achieve.
direct impact on departmental results; cases move to the best financial outcome and timely resolution; best financial outcome
Industry & Context.
Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues; Applying creative solutions which result in the best financial outcome; Excellent evaluation and strategic skills required
work from anywhere in the United States, temporary estimated two-month assignment, adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the state of California, government mandated benefits will be provided, 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, 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
What They're Looking For.
Must Have
minimum of five years’ experience adjudicating workers' compensation claims in the CA jurisdiction, CA SIP License or both WCCA and WCCP designations, good business acumen, excellent communication skills, excellent evaluation and strategic skills, claim negotiation skills, customer focus, Effective time management skills, ability to articulate the financial value of your work, work independently, exercise sound judgment, Proficient in MS Office Suite and other business-related software, Polished and professional written and verbal communication skills, ability to read and write English fluently
Nice to Have
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
What You'll Do.
adjudicate workers' compensation claims of higher technical complexity
Resolving issues that are generalized and typically not complex
Reporting to senior management and underwriters on claims trends and developments
Investigating claims promptly and thoroughly
Analyzing claims forms
policies and endorsements
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
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
How You'll Work.
Team & Collaboration
Reporting to senior management and underwriters on claims trends and developments; collaborative nature to expeditiously resolve claims
Communication Scope
excellent communication skills; Polished and professional written and verbal communication skills; ability to articulate the financial value of your work
Process & Methodology
Managing diary timely and complete tasks, Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines
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