Workers’ Compensation Claims Adjuster- Remote (California only)

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.  

Our flexible workplace is continuously evolving to ensure all employees feel: 

• Comfortable bringing their whole selves to work. 
• Confident that they will be treated respectfully. 
• Recognized for their performance and provided with equal opportunities to succeed. 

At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us. 

We are looking for a highly capable Workers’ Compensation Claims Adjuster to join our Workers’ Compensation Claims team and work from any US Argo office or remotely from home in California.  This role will be adjudicating mostly indemnity but some medical-only workers’ compensation claims in the California jurisdiction and contribute to providing superb results for our clients. As this is a temporary assignment only government-mandated benefits will be provided in addition to a base salary.

The primary duties and responsibilities of the role are:

• Working under technical direction and within significant limits and authority, adjudicate workers’ compensation indemnity claims of higher technical complexity on assignments reflecting potentially with a direct impact on departmental results.
• 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, client instructions, and other records to determine whether the loss falls within the policy coverage.
• 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.   
• Properly setting claim reserves. 
• 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. 
• Negotiating settlements 
• 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. 

Core qualifications and requirements for this position include:

• 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).
• An practical knowledge of workers compensation claims through:
  • A minimum of four years’ experience adjudicating indemnity workers’ compensation claims in the California jurisdiction. 
  • 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 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 which may include CEO.
• Must work independently and demonstrate the ability to exercise sound judgment.
• Demonstrates inner strength.  Has the courage to do the right thing and demonstrates it on a daily basis.
• Intellectual curiosity.  Consistently considers all options and is not governed by conventional thinking.
• 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 through continuing education and self-development opportunities.

Physical Demands

Unless otherwise specified below as an essential function of the job, this role generally operates within a standard office environment requiring the use of a PC and other related office equipment.

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.
• Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. 
• 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.

How We Work – Our Employee Values

Employees at Argo thrive together as a responsible, profitable specialty insurer where all stakeholders share in our success.  
We are committed to:

• Demonstrate entrepreneurial spirit:
  • Get the job done in a non-bureaucratic, resourceful manner.
  • Create a culture of accountability ensuring the delivery of world-class products and services.
• Do the right thing:
  • Act with integrity always.
  • Adhere to the commitments set forth in the Argo Group Environmental, Social and Governance program.
• Collaborate:
  • Create an open and transparent environment in which diverse experience, skill sets, and individuals can team together to drive optimal outcomes.
  • Encourage and include unique perspectives at all times.
• Respect each other:
  • Create an environment that promotes dialogue, mutual support and cooperation between and among all, where people are fun to be around, proud of what they do, and willing to achieve beyond normal expectations.

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges:

$74,900—$97,020 USD

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

California outside of San Francisco metro area, Connecticut, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges:

$82,390—$97,020 USD

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

New York City and San Francisco metro areas Pay Ranges:

$89,880—$105,840 USD

PLEASE NOTE:  At this time, Argo Group will not sponsor an applicant for employment authorization for this position.

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

To all recruitment agencies:  Unless you have been requested to work on this position, or other positions with Argo Group, please do not forward any resumes to Argo Group employees.   Argo Group is not responsible for any fees related to unsolicited resumes.

Argo Group International Holdings, Ltd. 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 company is a wholly owned subsidiary of Brookfield Reinsurance Ltd. Argo and its insurance subsidiaries are rated ‛A-’ by Standard and Poor’s. Argo’s insurance subsidiaries are rated ‛A-’ by A.M. Best. More information about Argo is available at www.argogroup.com.

We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. 

The collection of your personal information is subject to our HR Privacy Notice

Our Benefits

Developing our employees professionally and personally strengthens our organization.
Argo Group offers an attractive Total Rewards package that includes:

• 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.  In addition to traditional health and wellness plans, benefits include dental, disability, life insurance, medical, and vision insurance, matching 401(k) retirement savings, generous paid time off (21 days of PTO, 11 paid company holidays, 3 floating holidays and a paid voluntary day), paid caregiver and parental leave, paid bereavement, jury duty/court appearances, and military (up to 14 days) leave, employee assistance program (EAP), and an array of voluntary benefits.  
  
• Argo Academy, a digital and instructor-led platform that offers continuous learning and professional development – Trainingmagazine lists Argo among the Training “Top 125” Companies.   Argo encourages career mobility and continuing education to pursue and maintain professional and industry designations, in addition to traditional university and higher education programs.
  
• An inclusive culture that develops and sponsors diverse teams, encourages cross-functional engagement and collaboration, builds community through employee resource groups (ERGs), and provides an environment that welcomes ongoing dialogue, creative innovation, professional and personal development.
  
• Active community outreach and volunteer programs.
  
• A generous Employee Referral program that results in approximately 25% of all new hires annually.