Workers' Compensation Claims Adjsuter

Company

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

Summary:

We are seeking a highly capable Workers’ Compensation Claims Adjuster to join our team in a field-based position working from New Mexico.  This role reports to a manager in North Carolina and focuses on adjudicating workers’ compensation indemnity claims in AL, AZ, CO, & FL and also focuses on adjudicating workers’ compensation indemnity and medical only claims in NM. You’ll play a meaningful role in delivering exceptional outcomes 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 position is qualified as a field position.
 

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 the jurisdictions of NM is required at time of hire. If you don’t have jurisdictional knowledge of AL, AZ, CO, & FL at the time of hire, that is fine.  We will provide training for these jurisdictions.
  • License required in NM at date of hire.  Must be able to obtain licenses in AL, AZ, and FL within 90 days of hire.
• 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.

PLEASE NOTE: 

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.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400. 

Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

Core Values

At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.