Senior Commercial General Liability & Workers’ Compensation Claims Adjuster

About this role

Company Argo Group Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

Business Title(s):  Senior Commercial General Liability & Workers’ Compensation Claims Adjuster  Employment Type:  Full-Time  FLSA Status:  Exempt  Location:  In-Office    Summary:    We are looking for a highly capable Senior Commercial General Liability and Workers’ Compensation Claims Adjuster to join our Claims team and work from either our Richmond, VA, or Omaha, NE offices.  Alternatively, we are also open to filling the position in Albany, NY, Chicago, IL, Los Angeles, CA, or New York City, NY.  The position reports to a manager based in Rockwood, PA. This role will be adjudicating workers’ compensation claims in the jurisdictions of AL, CO, FL, GA, NC, NJ, NY, & SC and Commercial General Liability claims natiowide in order to provide superb results for our clients.

Although Rockwood underwrites general liability insurance and workers’ compensation for many types of businesses, our specialty is underwriting workers’ compensation insurance for the mining industry, with a focus on the coal-mining industry.  Rockwood has become a leading underwriter of workers’ compensation for the mining industry by offering workers’ compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.  We have never been more committed to our clients to ensure their employees receive excellent medical care if they need it due to a work-related injury or illness.  Our passion for outstanding customer focus, combined with our deep industry experience, is what sets up apart from other insurance carriers in this niche market.  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:   • Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity and federal black lung workers’ compensation claims as well as commercial general liability claims on assignments reflecting potentially with significant impact on departmental results. • Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long-lasting connections with our insured and brokers.  • Solving difficult problems that requires an understanding of a broader set of issues.  • Reporting to senior management, loss control, and underwriters on claims trends and developments.  • Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.  • Investigating 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.  • Writing own coverage letters. • 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.     • Creating and reviewing reserves in line with market and Argo's reserving policy  • Identifying, assigning, 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.  • Settling straightforward claims in line with authority limits and adheres to organizational referral procedures  • Negotiating in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.  • Processing mail and prioritizing workload.    • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).   • Having an appreciation and passion for strong claim management.   

Qualifications / Experience Required:   • An advanced knowledge of commercial general liability and workers’ compensation claims, as well as an exceptional customer service focus typically obtained through:  • A  minimum of five years ’ experience adjudicating both commercial general liability and workers’ compensation claims in any of the following jurisdictions: AL, CO, FL, GA, NC, NJ, NY, & SC.  • Bachelor’s degree from an accredited university required.   Two or more insurance designations or four additional years of related experience adjudicating workers’ compensation claims beyond the minimum experience required above may be substituted in lieu of a degree. •   Must be licensed in AL, FL, GA, NC, NY, KY, and SC  or have ability to quickly obtain a license to adjudicate first party claims within 120 days of employment. 

• Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).  • Must have excellent communication skills and the ability to build lasting relationships.  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance. This role primarily faces problems and issues that are difficult that requires an understanding of a broader set of issues.  • Strong claim negotiation skills a must. Ability to take proactive and pragmatic approach to negotiation.  • 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 pr

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