Workers' Compensation Claims Adjuster

Business Title(s): Workers' Compensation Claims Adjuster

Employment Type: Full-Time

FLSA Status: Exempt

Location: In-Office

____________________________________________________________________________

Summary:

We are seeking a highly capable Workers' Compensation Claims Adjuster to join our team and work remotely from their home within the State of New Mexico. This role reports to a manager in North Carolina and focuses on adjudicating workers' compensation indemnity claims in AZ, CA, CO, FL, GA, MA, and NM, along with additional jurisdictions. You'll play a meaningful role in delivering exceptional outcomes for our clients.

This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities:

• Adjudicate workers' compensation claims of higher technical complexity within defined authority.

• Resolve moderately complex issues requiring broad understanding of claims processes and business impact.

• Investigate claims promptly and thoroughly, including interviews and documentation review.

• Evaluate policies, endorsements, and client instructions to determine coverage.

• Manage litigated claims and maintain accurate reserves aligned with Argo policy.

• Ensure timely file progression through effective diary management and task completion.

• Identify loss drivers, trends, and opportunities to reduce frequency and severity.

• Prepare clear, concise claim reports and maintain complete, accurate documentation.

• Apply creative solutions and negotiate cost-effective settlements within authority.

• Coordinate internal and external expert resources as needed for case resolution.

• Communicate professionally with insureds, claimants, attorneys, underwriters, and management.

• Prioritize workload, process mail, and manage correspondence efficiently.

• Demonstrate strong claim management fundamentals and a consistent client-focused mindset.

Qualifications / Experience Required:

• Practical knowledge of workers' compensation claims, as well as exceptional customer service focus, typically obtained through:

• Bachelor's degree required, OR two insurance designations OR four additional years of Indemnity Workers' Compensation adjusting experience in lieu of degree.

• Minimum 2 years' experience adjudicating workers' compensation claims in one or more of the following jurisdictions: AZ, CA, CO, FL, GA, MA, and NM.

• Licensed in CA, FL, RI, or TX; must be able to quickly obtain other required jurisdictional licenses (within 120 days).

• Strong business acumen and understanding of how claim outcomes impact profitability.

• Proven ability to exercise sound judgment and independent decision-making.

• A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:

• Finding a way to achieve success through adversity.

• Being solution (not problem) focused

• Thinking with a global mindset first.

• Client focus - the ability to effectively determine specific client needs and to provide value added solutions.

• Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.

• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.

• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.

• Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.

• Excellent evaluation and strategic skills required.

• Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation. Negotiation skills will be taught to Trainee level candidates. Associate Adjuster candidates are expected to have a working understanding of negotiation skills that will be further honed with additional training.

• Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.

• Ability to thrive in a fast-paced, evolving environment with multiple priorities.

• Uses listening and questioning techniques to effectively gather information from insureds and claimants

• Demonstrated customer focus and ability to articulate claim value to stakeholders, including senior leadership.

• High degree of professionalism, curiosity, integrity, and willingness to do the right thing.

• Proficient in MS Office and related business systems; fluent in English.

• Commitment to ongoing professional development.

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.

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.