Workers' Compensation Claims Adjuster - Remote
Description:
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.
Bachelors 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.
Apply Now
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.
Bachelors 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.
Apply Now