The Medical Only Claims Adjuster is responsible for managing medical-only claims for non‑partnership accounts, primarily within the jurisdictions of Pennsylvania and Maryland
Job Summary
The Medical Only Claims Adjuster is responsible for managing medical-only claims for non‑partnership accounts, primarily within the jurisdictions of Pennsylvania and Maryland.
Under close supervision, this role investigates compensability, conducts claimant, employer, and provider outreach, sets reserves, denies non‑compensable claims, and ensures appropriate medical payments are made timely and accurately.
Argo Group offers 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.
Matching Summary
The Medical Only Claims Adjuster is responsible for managing medical-only claims for non‑partnership accounts, primarily within the jurisdictions of Pennsylvania and Maryland.
Skills & Requirements
Must-have
Manage medical only claims
Investigate compensability
Set claim reserves
Timely medical payments
Claim stakeholder communication
Federal and State Black Lung claims
Nice-to-have
Solution focused approach
Intellectual curiosity
Collaborative team environment
Desire for continued development
Key Requirements
High School diploma
Six years experience adjudicating medical only claims
Familiarity with medical terminology
Licensed Claims Examiner (Based on state)
Ability to obtain license within 120 Day
Work Rights
Must be legally authorized to work in the United States