Claims Adjuster I

2 weeks ago


Alpharetta, United States AmTrust Financial Full time

Claims Adjuster I

Company Overview:
AmTrust Financial Services, a rapidly expanding commercial insurance company, is currently seeking a Claims Adjuster I for immediate hire. The Claims Adjuster I will be responsible for efficiently handling worker's compensation insurance claims by conducting thorough investigations, negotiating settlements, and communicating effectively with all involved parties. This role reports to a WC Supervisor.

Responsibilities:
- Conduct comprehensive investigations of worker's compensation claims by liaising with injured workers, medical providers, and employer representatives.
- Evaluate the validity of claims based on relevant workers' comp statutes.
- Collaborate with medical providers to establish and approve suitable treatment plans.
- Review and validate medical bills to ensure compliance with treatment plans and workers' comp regulations.
- Ensure timely payments for medical expenses and income replacement following applicable fee schedules and statutes.
- Address inquiries about claim statuses from claimants, policyholders, and medical providers.
- Work with attorneys on litigation management, settlement strategies, and claim resolutions.

Qualifications:
- 1-3 years of experience as a Workers Comp adjuster.
- Proficiency in MS Office applications (Word, Excel, Outlook).
- Strong negotiation skills.
- Excellent verbal and written communication abilities.
- Effective prioritization to meet deadlines.
- Capable of managing multiple tasks in a dynamic environment.
- Must hold a Georgia license; Alabama license is advantageous.

Please note: This job description offers a brief overview of the position's requirements and does not encompass all responsibilities. AmTrust reserves the right to modify this description at its discretion.

What We Offer:
AmTrust Financial Services provides a competitive compensation package and diverse career growth opportunities. Our benefits include medical and dental plans, life insurance, Health Care Flexible Spending, 401k Savings Plans, and Paid Time Off. We are committed to fostering a diverse and inclusive environment where every employee's perspectives are valued and respected.


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