Lead Claims Examiner
Lead Claims Examiner
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
AmTrust Financial Services a fast-growing commercial insurance company has an immediate need for a Claims Adjuster II - WC. The adjuster is responsible for the prompt and efficient examination investigation settlement or declination of workers compensation insurance claims through effective research negotiation and interaction with insures and claimants ensuring that company resources are utilized in a cost-effective manner in the process.
Responsibilities
- Thoroughly investigating workers compensation claims by contacting injured workers medical providers and employer representatives. Determining if claims are valid under applicable workers comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
- Reviewing and analyzing medical bills to confirm charges and treatment are workers comp injury-related and in accordance with the treatment plan.
- Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
- Answer questions regarding the status of pending claims from claimants policyholders and medical providers.
- Consult with attorneys regarding litigation management settlement strategy and claim resolution
Qualifications
- 3 years Workers Comp experiencein New England States preference Massachusetts or Connecticut. (NH MA NY NJ RI or CT)
- Licenses in NH VT and RI
- MS Office experience (Work Excel Outlook)
- Effective negotiation skills
- Strong verbal and written communication skills
- Ability to prioritize work load to meet deadlines
- Ability to manage multiple tasks in a fast-paced environment
This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities duties or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
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What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include Medical & Dental Plans Life Insurance including eligible spouses & children Health Care Flexible Spending Dependent Care 401k Savings Plans Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race ethnicity gender sexual orientation culture religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds skills and perspectives of its workforce it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative enabling us to attract retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company how we operate and how we see our future.
Employment Type
Full-Time