Workers Compensation Claims Adjuster II
4 weeks ago
Overview:
The Workers' Compensation Adjuster II is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrusts mission, vision, and values. Upholds the standards of AmTrust and the Claims organization
Responsibilities:- Follows AmTrust policies and procedures in managing claims.
- Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured, claimant, witnesses and medical providers.
- Evaluates, establishes, maintains and adjusts reserves based on fact, company standard and experience.
- Skillfully negotiates claims, turning adverse perspectives into quick resolution. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.
- Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
- Establishes effective relationships with internal or assigned counsel for customized defense plan. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.
- Communicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans.
- Obtain medical records (past and present), police, ambulance and other agency reports as required.
- Provides insights and input when reviewing claims of others. May be sought out by others for advice.
- Writes in a clear, succinct and fact-based manner in claims files as well as in other communication.
- Manages mail and diary entries effectively and efficiently.
- Provides exceptional customer service.
- Performs other functional duties as requested or required.
Qualifications:
Bachelors degree or equivalent experience
1+ years WC claims handling experience
Demonstrated proficiency with MS Office suites
Demonstrated skills in investigation, evaluation and negotiation
Strong knowledge of insurance theory and practice
#LI-EG1
#LI-HYBRID
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.
-
Workers Compensation Claims Adjuster III
3 weeks ago
Maitland, United States AmTrust Financial Full timeOverview: AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Claims Adjuster III - 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,...
-
Workers' Compensation Claim Adjuster
3 months ago
Maitland, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Workers' Compensation Claim Adjuster
2 weeks ago
Maitland, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Workers Compensation Claims Manager
2 months ago
Maitland, United States AmTrust Financial Services, Inc. Full timeOverviewAmtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers’ Compensation Claims Supervisor. The WC Claims Supervisor works with the Claim Adjusters to manage and ensure the Workers' Compensation claims activities are being handled within the Amtrust Best Practices, develop and maintain professional customer...
-
Workers Compensation Claims Manager
2 months ago
Maitland, United States AmTrust Financial Services, Inc. Full timeOverviewAmtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers’ Compensation Claims Supervisor. The WC Claims Supervisor works with the Claim Adjusters to manage and ensure the Workers' Compensation claims activities are being handled within the Amtrust Best Practices, develop and maintain professional customer...
-
Workers Compensation Manager, Claims
2 weeks ago
Maitland, United States AmTrust Financial Full timeOverview: Amtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers Compensation Claims Supervisor. The WC Claims Supervisor works with the Claim Adjusters to manage and ensure the Workers' Compensation claims activities are being handled within the Amtrust Best Practices, develop and maintain professional customer and...
-
Workers Compensation Manager, Claims
5 days ago
Maitland, United States AmTrust Financial Full timeOverview: Amtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers Compensation Claims Supervisor. The WC Claims Supervisor works with the Claim Adjusters to manage and ensure the Workers' Compensation claims activities are being handled within the Amtrust Best Practices, develop and maintain professional customer and...
-
Claims Supervisor
5 days ago
Maitland, Florida, United States AmTrust Financial Full timeJob SummaryAmTrust Financial Services is seeking a highly skilled Workers Compensation Claims Supervisor to join our team. As a key member of our claims department, you will be responsible for managing and ensuring the effective handling of Workers Compensation claims activities within our organization.Key ResponsibilitiesDevelop and implement short-range...
-
Workers' Compensation Claims Manager
2 months ago
Maitland, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Workers Compensation Claims Manager
5 days ago
Maitland, Florida, United States AmTrust Financial Full timeJob SummaryAmTrust Financial Services is seeking a highly skilled Workers Compensation Claims Supervisor to join our team. As a key member of our claims department, you will be responsible for managing and ensuring the effective handling of Workers Compensation claims activities within our organization.Key Responsibilities• Develop and implement...
-
Workers Compensation Claims Team Lead
5 days ago
Maitland, Florida, United States AmTrust Financial Full timeJob SummaryAmTrust Financial Services is seeking a highly skilled Workers Compensation Claims Supervisor to join our team. As a key member of our claims department, you will be responsible for managing and ensuring the effective handling of Workers Compensation claims activities within our organization.Key ResponsibilitiesDevelop and implement short-range...
-
Claims Examiner III
2 days ago
Maitland, Florida, United States AmTrust Financial Services, Inc. Full timeJob SummaryAmTrust Financial Services, Inc. is seeking a highly skilled Claims Examiner III to join our team. As a Claims Examiner III, you will be responsible for examining, investigating, and settling workers' compensation insurance claims in a prompt and efficient manner.Key ResponsibilitiesConduct thorough investigations of workers' compensation claims,...
-
Insurance Claims Adjuster I
4 days ago
Maitland, Florida, United States AmTrust Financial Services, Inc. Full timeJob SummaryAmTrust Financial Services, Inc. is seeking a highly skilled Claims Examiner I to join our team. As a Claims Examiner I, you will be responsible for conducting thorough investigations and evaluations of insurance claims to ensure accurate and timely resolutions.Key ResponsibilitiesConduct prompt and independent reviews of insurance claims to...
-
Litigated Claims Expert II, General Liability
2 weeks ago
Maitland, Florida, United States Zurich Insurance Company Ltd. Full timeElevate Your Career with Zurich North America Claims:Join us as a Litigated Claims Expert at Zurich North America Claims, where we prioritize work-life balance and flexibility in your career journey. Our hybrid work model is designed with our employees' needs at the forefront, providing an ideal mix of flexibility and teamwork. You will have the autonomy to...
-
Maitland, United States Zurich Insurance Company Ltd. Full timepspan style=font-size:11.0ptspanspan style=font-family:Calibri, sans-serifUnlock Your Potential with Zurich North America Claims: Become a Litigated Claims Specialist/span/span/span/pp /ppspan style=font-size:11.0ptspanspan style=font-family:Calibri, sans-serifAt Zurich North America Claims, we recognize that work-life balance and flexibility are essential...
-
Logistics Claims Administrator
2 weeks ago
Maitland, Florida, United States Armada Full timePosition OverviewThis role is pivotal within Armada, focusing on the management of invoice discrepancies from initial identification to final resolution. The Claims Coordinator will serve as the primary liaison among Distribution Centers, suppliers, and carriers, ensuring thorough investigation and resolution of claims.Key ResponsibilitiesAct as the initial...
-
Claims Management Trainee
2 weeks ago
Maitland, Florida, United States Progressive Insurance Full timeJob Overview - Medical Claims Processing AssociateAs a Medical Claims Processing Associate, you will play a crucial role in ensuring the efficiency and effectiveness of the medical claims process for our clients.Your primary focus will be on personal injury protection medical coverage, where you will evaluate accident details, medical documentation, and...
-
Claims Coordinator
1 month ago
Maitland, United States Armada Full timeThis position is for ATEC Logistics, LLC, a subsidiary of Armada. Founded in 1989 and based in Maitland, Florida, ATEC (www.atecsystems.com) is a logistics provider with expertise in the areas of global ocean shipping, export documentation, and order management services. SUMMARY The overall responsibility of this position is to be the point of contact in all...
-
Construction Defect
2 weeks ago
Maitland, United States CCMSI Full timeOverview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Accounts Receivable Specialist II
2 weeks ago
Maitland, Florida, United States US Anesthesia Partners Full timeAccounts Receivable Specialist IIAs an Accounts Receivable Specialist II, your primary responsibility will be to manage the collection of outstanding receivables from various third-party payers, including both governmental and commercial entities, within a firm dedicated to providing management services for anesthesiology practices.Key...