Workers' Compensation Claims Adjsuter

About the role

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.

Argo Group is an underwriter of specialty insurance products in the property and casualty market. 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.

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

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.
• 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.

Skills

• Strong focus on execution in getting things done right.
• Proven ability to consistently produce and deliver expected results to all stakeholders.
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers.
• 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.
• Excellent evaluation and strategic skills required.
• Strong claim negotiation skills a must.
• 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.

Benefits

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.