Workers' Compensation Claims Adjuster - Remote
Posted 2025-03-14Description:
? Adjudicating mostly indemnity but some medical-only workers' compensation claims in California jurisdiction.
? Working under technical direction and within significant limits and authority.
? Solving difficult problems that requires an understanding of a broader set of issues.
? Reporting to senior management and underwriters on claims trends and developments.
? Investigating claims promptly and thoroughly.
? Analyzing claims forms, policies and endorsements.
? Managing claims in litigation.
? Properly setting claim reserves.
? Negotiating settlements.
Requirements: ? Must have good business acumen (i.e. understand how an insurance company works and makes money). ? A minimum of four years? experience adjudicating indemnity workers' compensation claims in the California jurisdiction. ? Bachelor?s degree from an accredited university required. ? Must be licensed and have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. ? Must have excellent communication skills and the ability to build lasting relationships. ? Exhibit natural curiosity. ? Desire to work in a fast-paced environment. ? Excellent evaluation and strategic skills required. ? Strong claim negotiation skills a must. ? Must possess a strong customer focus. ? Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. ? Ability to articulate the financial value of your work at multiple responsibility levels inside our clients? business. ? Must work independently and demonstrate the ability to exercise sound judgment. ? Demonstrates inner strength and has the courage to do the right thing. ? Intellectual curiosity and consistently considers all options. ? Proficient in MS Office Suite and other business-related software. ? Polished and professional written and verbal communication skills. ? The ability to read and write English fluently is required. ? Must demonstrate a desire for continued professional development.
Benefits:
? A culture that recognizes performance and empowers employees to excel, offering competitive compensation and merit driven profit sharing.
? Flexible workplace policies that support employee well-being include compressed hours, flex-time, job-sharing, remote work, sabbatical leave, and holiday hours.
? Comprehensive health, wellness, and financial planning options that employees can tailor to meet their personal and family needs.
? Argo Academy, a digital and instructor-led platform that offers continuous learning and professional development.
? An inclusive culture that develops and sponsors diverse teams, encourages cross-functional engagement and collaboration, builds community through employee resource groups (ERGs).
? Active community outreach and volunteer programs.
? A generous Employee Referral program that results in approximately 25% of all new hires annually.
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